Chubbuck, Shea Fetherston

Chubbuck, Shea Fetherston is an individual health care provider with primary practice located at 2515 Foresight Cir Suite 200, Grand Junction CO 81505-1018. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Chubbuck, Shea Fetherston can be contacted via phone (970) 242-8177.

Contact Information

Primary practice address
2515 Foresight Cir Suite 200 Grand Junction CO 81505-1018
Phone: (970) 242-8177
Fax: (970) 255-3558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0003935 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.0003935 Colorado

Profile Details

NPI number 1295055077
LBN Legal business name Chubbuck, Shea Fetherston
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Feb 5th, 2024 - about 9 months 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 1295055077 NPPES
Colorado MEDICAID 00657271

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