Individual
BRIAN ROBERT SHINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK PSYCHIATRIC ASSOCIATES, LEBANON, NH 03756-1000
(603) 650-8558
Mailing address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK PSYCHIATRIC ASSOCIATES, LEBANON, NH 03756-1000
(603) 650-8558
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
RT 1201
NH
2084P0800X
Psychiatry Physician
0420011417
VT
2084P0800X
Psychiatry Physician
Primary
RT 1201
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000243502
MEDICARE PIN LINKED TO VT5695
VT
01
—
042.0011417
LICENSE
VT
05
—
1014260
—
VT
Enumeration date
09/03/2006
Last updated
03/26/2013
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