Sheridan, Michael Jay Scott
Sheridan, Michael Jay Scott is an individual health care provider with primary practice located at 1116 N 16Th St Ste A , Lafayette IN 47904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Sheridan, Michael Jay Scott can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
1116 N 16Th St Ste A
Lafayette IN 47904
Phone: (765) 448-8000
Fax: (765) 448-8807
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 79395 | Georgia |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME 87486 | Florida |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01069765A | Indiana |
Profile Details
NPI number | 1174519466 |
---|---|
LBN Legal business name | Sheridan, Michael Jay Scott |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2005 |
Last updated | Aug 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174519466 | NPPES |
Florida | Other | 78677 | BCBS OF FL |
Florida | Other | 841624482 | BCBS OF FL |
Florida | Other | 000000851467 | BCBS OF FL |
Florida | MEDICAID | 266749500 | BCBS OF FL |
Florida | MEDICAID | 201023730 | BCBS OF FL |
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