Sheridan, Heidi Michelle

Sheridan, Heidi Michelle is an individual health care provider with primary practice located at 1160 Wallace Rd Nw , Salem OR 97304-3116. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Sheridan, Heidi Michelle can be contacted via phone (503) 331-3060.

Contact Information

Primary practice address
1160 Wallace Rd Nw Salem OR 97304-3116
Phone: (503) 331-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 61094500 Washington
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 30791 Oregon

Profile Details

NPI number 1215060017
LBN Legal business name Sheridan, Heidi Michelle
Credentials Certified Audiologist (AU)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Dec 20th, 2021 - about 5 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 1215060017 NPPES
Oregon MEDICAID 500668711

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