Individual
DR. DEBORAH LOU SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1202 E MAIN ST, WILLOW SPRINGS, MO 65793-3588
(417) 469-1820
(417) 469-5280
Mailing address
1202 E MAIN ST, WILLOW SPRINGS, MO 65793-3588
(417) 469-1820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009010253
MO
207Q00000X
Family Medicine Physician
3619
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131490B
—
OK
05
—
1164410353
—
MO
05
—
177582003
—
AR
01
—
431560263
TRICARE WEST
—
01
—
500522075
MEDICARE GROUP PIN
OK
01
—
P00724816
RAILROAD MEDICARE
MO
Enumeration date
10/11/2005
Last updated
07/29/2019
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