Shea, Richard J

Shea, Richard J is an individual health care provider with primary practice located at 5330 E Stop 11 Rd , Indianapolis IN 46237-6345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shea, Richard J can be contacted via phone (317) 893-1900.

Contact Information

Primary practice address
5330 E Stop 11 Rd Indianapolis IN 46237-6345
Fax: (317) 893-1685
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01050835A Indiana

Profile Details

NPI number 1578534004
LBN Legal business name Shea, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated May 6th, 2024 - about 6 months 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 1578534004 NPPES
Indiana MEDICAID 200252330A

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