Sheehan Smedberg, Evelyn M
Sheehan Smedberg, Evelyn M is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 3060N , Hawthorne NY 10532-2180. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sheehan Smedberg, Evelyn M can be contacted via phone (914) 909-9018.Contact Information
Primary practice address
19 Bradhurst Ave Ste 3060N
Hawthorne NY 10532-2180
Phone: (914) 909-9018
Fax: (914) 909-9028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002491-1 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 25MP00035600 | New Jersey |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002491 | New York |
Profile Details
NPI number | 1255359139 |
---|---|
LBN Legal business name | Sheehan Smedberg, Evelyn M |
Credentials | PHYSICIAN ASSISTANT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Jun 22nd, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255359139 | NPPES |
New York | MEDICAID | 3103202 |
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