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Individual

JEFFREY SHEEDY

Active
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Individual

JEFFREY SHEEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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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