Brogren, Shea

Brogren, Shea is an individual health care provider with primary practice located at 102 W Beaton Dr Ste 105 , West Fargo ND 58078. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Brogren, Shea can be contacted via phone (701) 261-4643.

Contact Information

Primary practice address
102 W Beaton Dr Ste 105 West Fargo ND 58078
Phone: (701) 261-4643
Fax: (701) 540-9044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X 1351 North Dakota

Profile Details

NPI number 1578979241
LBN Legal business name Brogren, Shea
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Oct 16th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578979241 NPPES
North Dakota MEDICAID 56430

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