MEDICARE: LINDA DIANE SHEETS

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1750034914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA DIANE SHEETS

Provider Business Mailing Address
First Line	:	10 W MAIN ST
Second Line	:
City	:	MCCONNELSVILLE
State	:	OH
Zip	:	43756-1215
Country	:	US
Telephone Number	:	740-962-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 W MAIN ST
Second Line	:
City	:	MCCONNELSVILLE
State	:	OH
Zip	:	43756-1215
Country	:	US
Telephone Number	:	740-962-5600
Fax Number	:

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

Provider Enumeration Date	:	01/28/2022
Last Update Date	:	01/28/2022

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Directions to “ LINDA DIANE SHEETS ” Practice Location

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