Sheehan, Breann Mackenzie

Sheehan, Breann Mackenzie is an individual health care provider with primary practice located at 2651 E Discovery Pkwy , Bloomington IN 47408-9059. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Sheehan, Breann Mackenzie can be contacted via phone (812) 353-9852.

Contact Information

Primary practice address
2651 E Discovery Pkwy Bloomington IN 47408-9059
Phone: (812) 353-9852
Fax: (812) 353-9278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01070437A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01070437A Indiana

Profile Details

NPI number 1144464355
LBN Legal business name Sheehan, Breann Mackenzie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2009
Last updated Feb 9th, 2023 - about 2 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 1144464355 NPPES
Indiana Other 090540816 MEDICARE
Indiana MEDICAID 201098380 MEDICARE

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