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NPI Code Detail

MEDICARE: SHEERAN CHIROPRACTIC, P.L.L.C.

MEDICARE: SHEERAN CHIROPRACTIC, P.L.L.C.
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
1111N00000XChiropractor2301005261MI

General Provider Information

NPI Number : 1245581545
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEERAN CHIROPRACTIC, P.L.L.C.
Provider Business Mailing Address
First Line : 36 44TH ST SW
Second Line :
City : GRANDVILLE
State : MI
Zip : 49418-2177
Country : US
Telephone Number : 616-457-5700
Fax Number : 616-457-5700
Provider Business Practice Location Address
First Line : 36 44TH ST SW
Second Line :
City : GRANDVILLE
State : MI
Zip : 49418-2177
Country : US
Telephone Number : 616-457-5700
Fax Number : 616-457-5700
Authorized Official
Title or Position : PROVIDER/OWNER
Name : DR. PATRICK JOHN SHEERAN
Credential : D.C.
Telephone Number : 616-457-5700
Provider Enumeration Date : 09/26/2012
Last Update Date : 09/26/2012

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Directions to “SHEERAN CHIROPRACTIC, P.L.L.C. ” Practice Location

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