Sheridan, Christine Alicia

Sheridan, Christine Alicia is an individual health care provider with primary practice located at 68 Lee Park Ave , Hanover Township PA 18706-4015. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Sheridan, Christine Alicia can be contacted via phone (570) 822-8254.

Contact Information

Primary practice address
68 Lee Park Ave Hanover Township PA 18706-4015
Phone: (570) 822-8254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC007085L Pennsylvania

Profile Details

NPI number 1508919705
LBN Legal business name Sheridan, Christine Alicia
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1508919705 NPPES
Pennsylvania Other SH543964 BLUE SHIELD
Pennsylvania Other 808871 BLUE SHIELD
Pennsylvania MEDICAID 0017388420001 BLUE SHIELD

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