Sheridan, Stephen
Sheridan, Stephen is an individual health care provider with primary practice located at 1 Widger Rd , Marblehead MA 01945. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sheridan, Stephen can be contacted via phone (781) 631-8250.Contact Information
Primary practice address
1 Widger Rd
Marblehead MA 01945
Phone: (781) 631-8250
Fax: (781) 639-2060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 16479 | Massachusetts |
Profile Details
| NPI number | 1962486241 |
|---|---|
| LBN Legal business name | Sheridan, Stephen |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Dec 8th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962486241 | NPPES |
| Massachusetts | MEDICAID | 0799289 | |
| Massachusetts | Other | Y68360 |
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