Shea, Lisa

Shea, Lisa is an individual health care provider with primary practice located at 230 Forest Park Ave , Springfield MA 01108-2034. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Shea, Lisa can be contacted via phone (413) 733-0778.

Contact Information

Primary practice address
230 Forest Park Ave Springfield MA 01108-2034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1425 Massachusetts

Profile Details

NPI number 1336121904
LBN Legal business name Shea, Lisa
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336121904 NPPES
Other 4253232 AETNA
Other 767546 AETNA
Other Y36015 AETNA

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