Sheehan, Deborah Lou

Sheehan, Deborah Lou is an individual health care provider with primary practice located at 1202 E Main St , Willow Springs MO 65793-3588. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sheehan, Deborah Lou can be contacted via phone (417) 469-1820.

Contact Information

Primary practice address
1202 E Main St Willow Springs MO 65793-3588
Phone: (417) 469-1820
Fax: (417) 469-5280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3619 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009010253 Missouri

Profile Details

NPI number 1164410353
LBN Legal business name Sheehan, Deborah Lou
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 29th, 2019 - about 5 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 1164410353 NPPES
Missouri MEDICAID 1164410353
Missouri Other 500522075
Missouri Other P00724816
Missouri MEDICAID 100131490B
Missouri MEDICAID 177582003
Missouri Other 431560263

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