Sheridan, Pamela J

Sheridan, Pamela J is an individual health care provider with primary practice located at 5750 W Alexis Rd , Sylvania OH 43560-2349. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Sheridan, Pamela J can be contacted via phone (419) 824-0300.

Contact Information

Primary practice address
5750 W Alexis Rd Sylvania OH 43560-2349
Fax: (419) 824-0500
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002275 Ohio

Profile Details

NPI number 1952398760
LBN Legal business name Sheridan, Pamela J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Nov 15th, 2017 - 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 1952398760 NPPES
Ohio MEDICAID 0586763

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