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Individual

DR. DOUGLAS PAUL SHEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
250 FAME AVE, SUITE 220, HANOVER, PA 17331-1587
(717) 632-5264
(717) 632-1165
Mailing address
250 FAME AVE, SUITE 220, HANOVER, PA 17331-1587
(717) 632-5264
(717) 632-1165

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003296L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1493380
CIGNA
PA
01
232815860
HEALTH ASSURANCE/AMERICA
KY
01
232815860
SOUTH CENTRAL PREFERRED
PA
01
232815860
TRICARE REGION 1
SC
01
234094
OPTIMUM CHOICE
MD
01
480009391
MEDICARE RAILROAD
GA
01
50000708
CAPITAL BLUE CROSS
PA
01
52383502
BLUE CROSS/BLUE SHIELD MD
MD
01
610215
FEDERAL BC/BS
PA
01
781462
AMERIHEALTH ADMINISTRATOR
PA
01
T381
CAREFIRST BC/BS DC
DC
Enumeration date
01/23/2006
Last updated
04/17/2013
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