Sheridan, Theresa Rita

Sheridan, Theresa Rita is an individual health care provider with primary practice located at 82 W Streetsboro St , Hudson OH 44236-2876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sheridan, Theresa Rita can be contacted via phone (330) 344-7650.

Contact Information

Primary practice address
82 W Streetsboro St Hudson OH 44236-2876
Phone: (330) 344-7650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A 12819 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.010381 Ohio

Profile Details

NPI number 1225345259
LBN Legal business name Sheridan, Theresa Rita
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2010
Last updated Jan 13th, 2021 - about 3 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 1225345259 NPPES
California Other CB216759 PTAN

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