Shea, Maureen A
Shea, Maureen A is an individual health care provider with primary practice located at 2157 Main St , Buffalo NY 14214-2648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Shea, Maureen A can be contacted via phone (716) 204-4500.Contact Information
Primary practice address
2157 Main St
Buffalo NY 14214-2648
Phone: (716) 204-4500
Fax: (716) 204-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 005534-1 | New York |
Profile Details
| NPI number | 1912954900 |
|---|---|
| LBN Legal business name | Shea, Maureen A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Mar 23rd, 2015 - about 9 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 | 1912954900 | NPPES |
| New York | MEDICAID | 02354272 |
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