Shea, Elizabeth A

Shea, Elizabeth A is an individual health care provider with primary practice located at 454 Old Street Rd Suite 106, Peterborough NH 03458-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shea, Elizabeth A can be contacted via phone (603) 924-7101.

Contact Information

Primary practice address
454 Old Street Rd Suite 106 Peterborough NH 03458-1200
Fax: (603) 924-3569
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12079 New Hampshire

Profile Details

NPI number 1730129669
LBN Legal business name Shea, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730129669 NPPES
New Hampshire MEDICAID 30203795

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