MEDICARE: DR. ROBERT S SHEEHAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH-61027002	WA

General Provider Information

NPI Number	:	1528793411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT S SHEEHAN DC

Provider Business Mailing Address
First Line	:	260 N OAK ST
Second Line	:
City	:	COLVILLE
State	:	WA
Zip	:	99114-2948
Country	:	US
Telephone Number	:	509-680-6997
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 N OAK ST
Second Line	:
City	:	COLVILLE
State	:	WA
Zip	:	99114-2948
Country	:	US
Telephone Number	:	509-680-6997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2022
Last Update Date	:	07/23/2022

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Directions to “ DR. ROBERT S SHEEHAN DC” Practice Location

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