Individual
JOHN M SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
25 NORTHRIDGE LN, LEXINGTON, VA 24450-3399
(540) 464-8700
(540) 464-1362
Mailing address
25 NORTHRIDGE LN, LEXINGTON, VA 24450-3399
(540) 464-8700
(540) 464-1362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102034358
VA
207P00000X
Emergency Medicine Physician
MB 42440
NJ
207P00000X
Emergency Medicine Physician
OS-004961-L
PA
207Q00000X
Family Medicine Physician
0102034358
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042653-000
—
WV
05
—
005848211
—
VA
05
—
005861411
—
VA
Enumeration date
07/17/2006
Last updated
04/12/2017
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