MEDICARE: DR. DANIEL JOSEPH SHEEHAN M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	0101260269	VA
2	208100000X	Physical Medicine & Rehabilitation Physician	MMD.33098	SC

General Provider Information

NPI Number	:	1568476190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JOSEPH SHEEHAN M.D.

Provider Business Mailing Address
First Line	:	47081 KENTWELL PL
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-7564
Country	:	US
Telephone Number	:	703-635-5502
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 SERVICE RD
Second Line	:
City	:	EAST SANDWICH
State	:	MA
Zip	:	02537-1370
Country	:	US
Telephone Number	:	508-833-4000
Fax Number	:

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	09/23/2020

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