Shea, Brian Thomas
Shea, Brian Thomas is an sole proprietor health care provider with primary practice located at 777 29Th St 400, Boulder CO 80303-2358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Shea, Brian Thomas can be contacted via phone (303) 447-0022.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 36013 | Colorado |
Profile Details
| NPI number | 1396758835 |
|---|---|
| LBN Legal business name | Shea, Brian Thomas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396758835 | NPPES |
| Colorado | MEDICAID | 92021328 |
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