Shea, Mitchell P

Shea, Mitchell P is an sole proprietor health care provider with primary practice located at 750 E Spring St Suite D, Cookeville TN 38501-4527. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shea, Mitchell P can be contacted via phone (931) 526-4084.

Contact Information

Primary practice address
750 E Spring St Suite D Cookeville TN 38501-4527
Phone: (931) 526-4084
Fax: (931) 526-6801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC000822 Tennessee

Profile Details

NPI number 1083701510
LBN Legal business name Shea, Mitchell P
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jun 18th, 2010 - about 16 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 1083701510 NPPES
Tennessee Other 8037830 CIGNA HEALTHCARE
Tennessee Other 0171110 CIGNA HEALTHCARE
Tennessee Other 641634 CIGNA HEALTHCARE
Tennessee Other 440236 CIGNA HEALTHCARE
Tennessee Other 350043697 CIGNA HEALTHCARE
Tennessee MEDICAID 3676558 CIGNA HEALTHCARE
Tennessee Other 0005106212 CIGNA HEALTHCARE

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