Shea, Kathleen M.
Shea, Kathleen M. is an individual health care provider with primary practice located at 1221 Main St , South Weymouth MA 02190-1561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shea, Kathleen M. can be contacted via phone (781) 340-1702.Contact Information
Primary practice address
1221 Main St
South Weymouth MA 02190-1561
Phone: (781) 340-1702
Fax: (781) 340-0931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 105978 | Massachusetts |
Profile Details
| NPI number | 1518944537 |
|---|---|
| LBN Legal business name | Shea, Kathleen M. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Oct 22nd, 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 | 1518944537 | NPPES |
| Massachusetts | Other | NP2743 | BLUE CROSS BLUE SHIELD |
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