Sheridan, Katherine C.

Sheridan, Katherine C. is an sole proprietor health care provider with primary practice located at 300 W 27Th St , Lumberton NC 28358-3075. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sheridan, Katherine C. can be contacted via phone (910) 671-5000.

Contact Information

Primary practice address
300 W 27Th St Lumberton NC 28358-3075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57-011569 Ohio
Other Service Providers / Specialist 174400000X 35-093882 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018-01651 North Carolina

Profile Details

NPI number 1184837494
LBN Legal business name Sheridan, Katherine C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Aug 21st, 2018 - about 6 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 1184837494 NPPES
Ohio MEDICAID 3023301

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