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SHEA CENTER FOR EARS HEARING AND BALANCE INC. NPI 1548257223


NPI Information

NPI: 1548257223
Provider Name: SHEA CENTER FOR EARS, HEARING AND BALANCE INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3265 W SARAZENS CIR
SUITE 102
MEMPHIS, TN
ZIP 38125
Phone: (901) 382-1200
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SHEA CENTER FOR EARS, HEARING AND BALANCE INC. is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SHEA CENTER FOR EARS, HEARING AND BALANCE INC. NPI is 1548257223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3265 W SARAZENS CIR
SUITE 102
MEMPHIS, TN
ZIP 38125-806
Phone: (901) 382-1200
Fax: (901) 382-8070

The provider's authorized official is John J Shea .
The authorized official title is Ceo and has the following contact phone number (901) 382-1200.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 3/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD0000016228TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13014433MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
2B58893MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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