Shea, Mary Ellen

Shea, Mary Ellen is an individual health care provider with primary practice located at 301 21St Ave N , Nashville TN 37203-1821. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shea, Mary Ellen can be contacted via phone (615) 329-6600.

Contact Information

Primary practice address
301 21St Ave N Nashville TN 37203-1821
Phone: (615) 329-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT3087 Tennessee

Profile Details

NPI number 1811988413
LBN Legal business name Shea, Mary Ellen
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 23rd, 2022 - about 3 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 1811988413 NPPES
Tennessee MEDICAID 3656253

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