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
Phone: (903) 291-6223
Fax: (903) 291-6222
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972658425 | NPPES |
Texas | MEDICAID | 110723708 |
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