National Provider Identifier

Shea Obear

Shea Obear is listed in the NPPES registry with a primary specialty of Specialist in Williamsville, NY and a listed phone number of (716) 631-9598.

NPI 1629711403Williamsville, NYSpecialist

Profile Overview

NPI
1629711403
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
April 19, 2022
Last Updated
April 26, 2022

Practice Location

  • 82 Chalmers St
  • Williamsville, NY 14221-5140

Phone: (716) 631-9598

Specialties

  • Specialist (174400000X)
Full Record
NPI
1629711403
Entity Type
Individual
Last Name
Obear
First Name
Shea
Mailing Street Address
82 Chalmers St
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5140
Mailing Country
US
Mailing Phone
(716) 631-9598
Practice Street Address
82 Chalmers St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5140
Practice Country
US
Practice Phone
(716) 631-9598
Enumeration Date
April 19, 2022
Last Updated
April 26, 2022
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
April 26, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)