George, Lisa Shea

George, Lisa Shea is an sole proprietor health care provider with primary practice located at 405 Main St , Danbury CT 06810-4710. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. George, Lisa Shea can be contacted via phone (203) 743-4412.

Contact Information

Primary practice address
405 Main St Danbury CT 06810-4710
Phone: (203) 743-4412
Fax: (120) 373-8118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1073764965
LBN Legal business name George, Lisa Shea
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2008
Last updated Nov 14th, 2013 - about 12 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 1073764965 NPPES
Connecticut MEDICAID 004040655

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