Individual
SHEA FETHERSTON CHUBBUCK
Active
Individual
SHEA FETHERSTON CHUBBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0003935
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0003935
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00657271
—
CO
Enumeration date
06/03/2010
Last updated
10/01/2025
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