NPI 1427645886 · live from the CMS NPI Registry
Shane Bowman
Student in an Organized Health Care Education/Training Program in Norwalk, CT. National Provider Identifier 1427645886, active.
NPI record
| NPI | 1427645886 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 34 Maple St, Norwalk, CT 06850 |
| Practice phone | 203-852-2000 |
| Enumerated | December 30, 2020 |
| Last updated | September 10, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 77626 (CT) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | 77626 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.