Sheridan, Robert Leo

Sheridan, Robert Leo is an individual health care provider with primary practice located at 51 Blossom Street Sbi Shriners Burn Institute, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sheridan, Robert Leo can be contacted via phone (617) 726-5633.

Contact Information

Primary practice address
51 Blossom Street Sbi Shriners Burn Institute Boston MA 02114
Phone: (617) 726-5633
Fax: (617) 367-8936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 74746 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 74746 Massachusetts

Profile Details

NPI number 1831171297
LBN Legal business name Sheridan, Robert Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 14th, 2012 - about 14 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 1831171297 NPPES
Massachusetts Other J11455 BCBS MA
Massachusetts Other 074746 BCBS MA
Massachusetts MEDICAID 3081389 BCBS MA

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