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Individual

DR. JOSEPH PATRICK SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
270 HUTTLESTON AVE, FAIRHAVEN, MA 02719-1605
(508) 997-9100
(508) 993-5854
Mailing address
270 HUTTLESTON AVE, FAIRHAVEN, MA 02719-1605
(508) 997-9100
(508) 993-5854

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1943
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1872698
CIGNA PROVIDER #
MA
01
23216-4
RI BCBS PROVIDER #
MD
01
351-249
HARVARD PILGRIM PROVIDER
MA
01
44-00351
UNITED HEALTH CARE #
MA
01
Y36493
BCBS PROVIDER #
MA
01
Y4509301
MEDICARE ACTIVE PROVIDER TRANSACTION ACCESS NUMBER(PTAN)
MA
Enumeration date
11/14/2006
Last updated
03/05/2021
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