Sheridan, Mary E

Sheridan, Mary E is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202-1334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sheridan, Mary E can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
400 E 5Th Ave Spokane WA 99202-1334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005246 Washington

Profile Details

NPI number 1336109040
LBN Legal business name Sheridan, Mary E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Nov 24th, 2009 - about 16 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 1336109040 NPPES
Washington MEDICAID 8494692

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