Shea, Elena Mercedes

Shea, Elena Mercedes is an individual health care provider with primary practice located at 8640 Sudley Rd Ste 306 , Manassas VA 20110-4404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shea, Elena Mercedes can be contacted via phone (703) 330-3939.

Contact Information

Primary practice address
8640 Sudley Rd Ste 306 Manassas VA 20110-4404
Phone: (703) 330-3939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101249728 Virginia

Profile Details

NPI number 1235390097
LBN Legal business name Shea, Elena Mercedes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Jul 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235390097 NPPES
Virginia Other 0101249758 VA LICENSE
Virginia MEDICAID 1235390097 VA LICENSE

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