Shea, Mary Ellen
Shea, Mary Ellen is an individual health care provider with primary practice located at 301 21St Ave N , Nashville TN 37203-1821. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shea, Mary Ellen can be contacted via phone (615) 329-6600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT3087 | Tennessee |
Profile Details
| NPI number | 1811988413 |
|---|---|
| LBN Legal business name | Shea, Mary Ellen |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 23rd, 2022 - about 4 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 | 1811988413 | NPPES |
| Tennessee | MEDICAID | 3656253 |
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