Individual
COREY SHEAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-5324
(802) 847-5324
Mailing address
57 OVERLOOK DR, SOUTH BURLINGTON, VT 05403-7887
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
042-0014697
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
304371
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
07/07/2020
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