Sheehan, Pauline Q

Sheehan, Pauline Q is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pediatrics/Adolescent Medicine, Worcester MA 01655-0002. 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, Pauline Q can be contacted via phone (508) 856-5695.

Contact Information

Primary practice address
55 Lake Ave N Department Of Pediatrics/Adolescent Medicine Worcester MA 01655-0002
Phone: (508) 856-5695
Fax: (508) 856-8045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50604 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 50604 Massachusetts

Profile Details

NPI number 1437247806
LBN Legal business name Sheehan, Pauline Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Aug 8th, 2011 - about 15 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 1437247806 NPPES
Massachusetts MEDICAID 3005551

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