Sheridan, Michael M

Sheridan, Michael M is an individual health care provider with primary practice located at 4988 State Highway 30 Amsterdam Memorial Health Center, Amsterdam NY 12010-7520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sheridan, Michael M can be contacted via phone (518) 843-5793.

Contact Information

Primary practice address
4988 State Highway 30 Amsterdam Memorial Health Center Amsterdam NY 12010-7520
Phone: (518) 843-5793
Fax: (518) 843-6513
Website:
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Health care specialties

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

Profile Details

NPI number 1902909476
LBN Legal business name Sheridan, Michael M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 8th, 2016 - about 10 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 1902909476 NPPES
Other 08230 MUP
MEDICAID 01170667 MUP
Other 000401398001 MUP
Other 10001883 MUP
Other 547811 MUP

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