Individual
JEFFREY SHEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1430 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-9525
(574) 223-5847
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 224-1044
(574) 224-1103
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02002791A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02002791A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384260A
—
IN
01
—
P00444585
RAILROAD MEDICARE
KS
Enumeration date
11/03/2005
Last updated
10/02/2014
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