Shea, Jeffrey Michael

Shea, Jeffrey Michael is an individual health care provider with primary practice located at 707 Hollybrook Dr , Longview TX 75605-2410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shea, Jeffrey Michael can be contacted via phone (903) 291-6223.

Contact Information

Primary practice address
707 Hollybrook Dr Longview TX 75605-2410
Fax: (903) 291-6222
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X H6598 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X H6598 Texas

Profile Details

NPI number 1972658425
LBN Legal business name Shea, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jan 24th, 2023 - about 2 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 1972658425 NPPES
Texas MEDICAID 110723708

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