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Individual

MIKE SHEFFIELD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2115 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 981-9182
(337) 988-3441
Mailing address
2115 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 981-9182
(337) 988-3441

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0343
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2966015
CIGNA
LA
01
650010001 E0303
RAILROAD MEDICARE
LA
01
70506 A003
CHAMPUS
LA
01
B4436
BLUE CROSS/BLUE SHIELD
LA
Enumeration date
03/20/2006
Last updated
07/08/2007
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