Brian Thomas Shea
Neuromusculoskeletal Medicine (NMM)
777 29th St 400
Boulder
, Colorado 80303-2358
Brian Thomas Shea
Neuromusculoskeletal Medicine (NMM)
777 29th St 400
Boulder
, Colorado 80303-2358
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Brian Thomas Shea
- 777 29th St 400
- Boulder, CO
- Zip : 80303-2358
- Phone :
Second Address
- Brian Thomas Shea
- 777 29th St 400
- Boulder, CO
- Zip : 80303-2358
- Phone : (303) 447-0022
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 36013 | CO |
National Provider Identifier
| NPI | 1396758835 |
|---|---|
| Provider Name | Brian Thomas Shea |
| First Address | Boulder, CO 80303-2358 |
| Second Address | Boulder, CO 80303-2358 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 92021328 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.