Provider Demographics
NPI:1245581545
Name:SHEERAN CHIROPRACTIC, P.L.L.C.
Entity Type:Organization
Organization Name:SHEERAN CHIROPRACTIC, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SHEERAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-457-5700
Mailing Address - Street 1:36 44TH ST SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2177
Mailing Address - Country:US
Mailing Address - Phone:616-457-5700
Mailing Address - Fax:616-457-5700
Practice Address - Street 1:36 44TH ST SW
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-2177
Practice Address - Country:US
Practice Address - Phone:616-457-5700
Practice Address - Fax:616-457-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty