Shea, John Patrick
Shea, John Patrick is an sole proprietor health care provider with primary practice located at 11797 South I-35 W #132, Burleson TX 76028-7035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shea, John Patrick can be contacted via phone (817) 551-1010.Contact Information
Primary practice address
11797 South I-35 W #132
Burleson TX 76028-7035
Phone: (817) 551-1010
Fax: (817) 551-0662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | E2857 | Texas |
Profile Details
| NPI number | 1710083787 |
|---|---|
| LBN Legal business name | Shea, John Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710083787 | NPPES |
| Texas | MEDICAID | 123528502 |
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