Healthcare Provider Details

I. General information

NPI: 1508457565
Provider Name (Legal Business Name): SHERIDAN HOWLAND FRENCH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 02/01/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 MELCHER ST
BOSTON MA
02210-1528
US

IV. Provider business mailing address

209 COUNTY RD
GREENFIELD NH
03047-4105
US

V. Phone/Fax

Practice location:
  • Phone: 617-536-1161
  • Fax:
Mailing address:
  • Phone: 603-562-6609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3715
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: