Shea, Jennifer A
Shea, Jennifer A is an individual health care provider with primary practice located at 130 Park St Se Ste 100 , Vienna VA 22180-4626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Shea, Jennifer A can be contacted via phone (703) 281-1265.Contact Information
Primary practice address
130 Park St Se Ste 100
Vienna VA 22180-4626
Phone: (703) 281-1265
Fax: (703) 255-0571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101253485 | Virginia |
Profile Details
| NPI number | 1730356916 |
|---|---|
| LBN Legal business name | Shea, Jennifer A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2008 |
| Last updated | Aug 27th, 2021 - about 4 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 | 1730356916 | NPPES |
| Virginia | MEDICAID | 1730356916 |
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