Sheehan, Bryan M

Sheehan, Bryan M is an sole proprietor health care provider with primary practice located at 1200 Neo Loop Ste A, Grove OK 74344. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sheehan, Bryan M can be contacted via phone (918) 787-6893.

Contact Information

Primary practice address
1200 Neo Loop Ste A Grove OK 74344
Phone: (918) 787-6893
Fax: (918) 787-6815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 207 Oklahoma
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 234 Arkansas

Profile Details

NPI number 1427031863
LBN Legal business name Sheehan, Bryan M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Aug 6th, 2010 - about 14 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 1427031863 NPPES
Oklahoma MEDICAID 100779640A
Oklahoma MEDICAID 158947717

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