Individual
DR. CHRISTINE ALICIA SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D,C,
Contact information
Practice address
68 LEE PARK AVE, HANOVER TOWNSHIP, PA 18706-4015
(570) 822-8254
Mailing address
68 LEE PARK AVE, HANOVER TOWNSHIP, PA 18706-4015
(570) 822-8254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007085L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017388420001
—
PA
01
—
808871
FIRST PRIORITY
PA
01
—
SH543964
BLUE SHIELD
PA
Enumeration date
01/19/2007
Last updated
07/08/2007
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