Shea, Stephen
Shea, Stephen is an individual health care provider with primary practice located at 275 Nichols Rd , Fitchburg MA 01420-1931. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shea, Stephen can be contacted via phone (978) 665-5820.Contact Information
Primary practice address
275 Nichols Rd
Fitchburg MA 01420-1931
Phone: (978) 665-5820
Fax: (978) 665-5808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1291520 | Massachusetts |
Profile Details
| NPI number | 1194749390 |
|---|---|
| LBN Legal business name | Shea, Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 2nd, 2018 - about 6 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 | 1194749390 | NPPES |
| Massachusetts | MEDICAID | 1319833 |
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