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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 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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