Shea, Connie Martha

Shea, Connie Martha is an sole proprietor health care provider with primary practice located at 2704 Ne 25Th St Ocala Msi Center For Pain Relief Llc, Ocala FL 34470-3985. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Shea, Connie Martha can be contacted via phone (352) 209-3054.

Contact Information

Primary practice address
2704 Ne 25Th St Ocala Msi Center For Pain Relief Llc Ocala FL 34470-3985
Phone: (352) 209-3054
Fax: (352) 291-5004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA16262 Florida

Profile Details

NPI number 1033302963
LBN Legal business name Shea, Connie Martha
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Jan 18th, 2011 - about 13 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 1033302963 NPPES
Florida Other C8971 BLUE CROSS BLUE SHIELD

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