Michael M. Sheridan,D.O.

LBN: Michael M. Sheridan,D.O.
Michael M. Sheridan,D.O. is an health care organization with primary practice located at 5010 State Highway 30 Suite 101, Amsterdam NY 12010-7532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Michael M. Sheridan,D.O. can be contacted via phone (518) 843-5793, or through Blakely, Tina M via phone (518) 843-5793.

Contact Information

Primary practice address
5010 State Highway 30 Suite 101 Amsterdam NY 12010-7532
Phone: (518) 843-5793
Fax: (518) 843-6513
Website:
Map and Directions
Authorized official contact:
Name: Blakely, Tina M
Phone: (518) 843-5793

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 165622 New York

Profile Details

NPI number 1811189467
LBN Legal business name Michael M. Sheridan,D.O.
DBA Doing business as
Authorized official Blakely, Tina M
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2007
Last updated Aug 16th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811189467 NPPES
New York MEDICAID 01170667

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