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Contact Information

SHEA ORTHOPEDIC AND SPORTS MEDICINE PC
1580 CREEKSIDE DRIVE
FOLSOM, CA95630
 Phone: 916-984-4500
 Fax: 915-984-4502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHEA ORTHOPEDIC AND SPORTS MEDICINE PC

NPI # 1225762917
LBN Legal business name SHEA ORTHOPEDIC AND SPORTS MEDICINE PC
Authorized official MICHAEL SHEA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2022
Last updated 07/13/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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