Individual
ROBERT M SHORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28 SHUNPIKE RD, CROMWELL, CT 06416-2454
(860) 635-4455
(860) 635-0499
Mailing address
4 BREEZY CORNERS RD, PORTLAND, CT 06480-1711
(860) 342-1636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001242
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004178035
—
CT
Enumeration date
07/11/2005
Last updated
07/08/2007
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