Sheehan, Marita

Sheehan, Marita is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Sheehan, Marita can be contacted via phone (806) 354-5630.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 354-5630
Fax: (806) 354-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D9740 Texas
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D9740 Texas

Profile Details

NPI number 1821020991
LBN Legal business name Sheehan, Marita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 30th, 2011 - about 13 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 1821020991 NPPES
Texas MEDICAID 138314313
Texas MEDICAID 100218140 A
Texas MEDICAID E1575
Texas MEDICAID 138314309

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