Shea, Lisa
Shea, Lisa is an individual health care provider with primary practice located at 230 Forest Park Ave , Springfield MA 01108-2034. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Shea, Lisa can be contacted via phone (413) 733-0778.Contact Information
Primary practice address
230 Forest Park Ave
Springfield MA 01108-2034
Phone: (413) 733-0778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1425 | Massachusetts |
Profile Details
| NPI number | 1336121904 |
|---|---|
| LBN Legal business name | Shea, Lisa |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1336121904 | NPPES |
| Other | 4253232 | AETNA | |
| Other | 767546 | AETNA | |
| Other | Y36015 | AETNA |
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