Shea, Owen F

Shea, Owen F is an individual health care provider with primary practice located at 1911 Johnson Ave , San Luis Obispo CA 93401-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shea, Owen F can be contacted via phone (805) 928-1731.

Contact Information

Primary practice address
1911 Johnson Ave San Luis Obispo CA 93401-4131
Phone: (805) 928-1731
Fax: (805) 349-8160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G77181 California

Profile Details

NPI number 1679569628
LBN Legal business name Shea, Owen F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679569628 NPPES
California MEDICAID 00G771810

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