Provider Demographics
NPI:1326285834
Name:SHEEHAN, MASON LAWRENCE II (DC)
Entity Type:Individual
Prefix:
First Name:MASON
Middle Name:LAWRENCE
Last Name:SHEEHAN
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 TOMLYNN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3334
Mailing Address - Country:US
Mailing Address - Phone:804-592-2225
Mailing Address - Fax:804-592-5905
Practice Address - Street 1:2221 TOMLYNN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3334
Practice Address - Country:US
Practice Address - Phone:804-592-2225
Practice Address - Fax:804-592-5905
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1194951616OtherORGANIZATION NPI
VA1326285834OtherINDIVIDUAL NPI