Individual
DR. MITCHELL P SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
750 E SPRING ST, SUITE D, COOKEVILLE, TN 38501-4527
(931) 526-4084
(931) 526-6801
Mailing address
750 E SPRING ST, SUITE D, COOKEVILLE, TN 38501-4527
(931) 526-4084
(931) 526-6801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC000822
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005106212
AETNA
TN
01
—
0171110
BCBS
TN
01
—
350043697
UNITED HEALTHCARE
TN
05
—
3676558
—
TN
01
—
440236
UNITED HEALTHCARE
TN
01
—
641634
ACN
TN
01
—
8037830
CIGNA HEALTHCARE
TN
Enumeration date
10/06/2006
Last updated
06/18/2010
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