Sheridan, Diane Marie

Sheridan, Diane Marie is an individual health care provider with primary practice located at 1624 10Th St Suite 1, Minden NV 89423-4413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Sheridan, Diane Marie can be contacted via phone (775) 782-0700.

Contact Information

Primary practice address
1624 10Th St Suite 1 Minden NV 89423-4413
Phone: (775) 782-0700
Fax: (775) 782-0500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 7773 Nevada

Profile Details

NPI number 1588619555
LBN Legal business name Sheridan, Diane Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588619555 NPPES
Other BX462A MEDICARE PTAN
Other 1841429263 MEDICARE PTAN
Other 41490 MEDICARE PTAN
MEDICAID 2003010 MEDICARE PTAN

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