Individual
EDWARD PAUL SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6293
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD12514
RI
2084P0800X
Psychiatry Physician
RT1125
NH
2084P0802X
Addiction Psychiatry Physician
MD12514
RI
2084P0802X
Addiction Psychiatry Physician
RT1125
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059853
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE NPI
—
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
33355-7
BLUE CROSS
RI
01
—
414713
BLUE CHIP
RI
05
—
ES68441
—
RI
Enumeration date
10/03/2006
Last updated
06/20/2008
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