Sheffey, Robert J
Sheffey, Robert J is an sole proprietor health care provider with primary practice located at 3260 W 111Th St , Chicago IL 60655. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sheffey, Robert J can be contacted via phone (773) 239-0702.Contact Information
Primary practice address
3260 W 111Th St
Chicago IL 60655
Phone: (773) 239-0702
Fax: (773) 239-0712
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016-005133 | Illinois |
Profile Details
NPI number | 1063417830 |
---|---|
LBN Legal business name | Sheffey, Robert J |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2005 |
Last updated | Jan 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063417830 | NPPES |
Illinois | Other | 0001636066 | BCBS |
Illinois | MEDICAID | 016005133 | BCBS |
Illinois | Other | P00260559 | BCBS |
Illinois | Other | P00390803 | BCBS |
Illinois | Other | 0001621735 | BCBS |
Illinois | Other | 131370500 | BCBS |
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