Sheedy, Thomas J.

Sheedy, Thomas J. is an individual health care provider with primary practice located at 2130 Big Bend Rd Prohealth Care Medical Associates Inc., Waukesha WI 53189-7624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Sheedy, Thomas J. can be contacted via phone (262) 928-7555.

Contact Information

Primary practice address
2130 Big Bend Rd Prohealth Care Medical Associates Inc. Waukesha WI 53189-7624
Phone: (262) 928-7555
Fax: (262) 513-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 37781 Wisconsin

Profile Details

NPI number 1053383695
LBN Legal business name Sheedy, Thomas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 9th, 2014 - about 12 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 1053383695 NPPES
Wisconsin MEDICAID 32237100

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