Sheridan, Kristin Mary

Sheridan, Kristin Mary is an sole proprietor health care provider with primary practice located at 1191 River Oak Dr , Mount Pleasant MI 48858-9301. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Sheridan, Kristin Mary can be contacted via phone (989) 773-6265.

Contact Information

Primary practice address
1191 River Oak Dr Mount Pleasant MI 48858-9301
Fax: (989) 773-1409
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301005634 Michigan

Profile Details

NPI number 1497832752
LBN Legal business name Sheridan, Kristin Mary
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Oct 31st, 2012 - about 12 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 1497832752 NPPES
Michigan Other 680C745000 BLUE CROSS BLUE SHIELD

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