Sheridan, Thomas M

Sheridan, Thomas M is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sheridan, Thomas M can be contacted via phone (920) 929-8282.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Phone: (920) 929-8282
Fax: (920) 926-8971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 563 Wisconsin

Profile Details

NPI number 1982719357
LBN Legal business name Sheridan, Thomas M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Feb 16th, 2015 - about 11 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 1982719357 NPPES
Other 480011389 RAILROAD MEDICARE
MEDICAID 43221300 RAILROAD MEDICARE

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