Shea, Rose M

Shea, Rose M is an sole proprietor health care provider with primary practice located at 420 Ivy Pl , Johnson City NY 13790-4933. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shea, Rose M can be contacted via phone (607) 217-4966.

Contact Information

Primary practice address
420 Ivy Pl Johnson City NY 13790-4933
Phone: (607) 217-4966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 050633-1 New York

Profile Details

NPI number 1174674725
LBN Legal business name Shea, Rose M
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
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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