Provider Demographics
NPI:1417675745
Name:DURKIN, SHEILAGH (LAC)
Entity Type:Individual
Prefix:
First Name:SHEILAGH
Middle Name:
Last Name:DURKIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 STATE RD
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-1538
Mailing Address - Country:US
Mailing Address - Phone:603-738-7444
Mailing Address - Fax:
Practice Address - Street 1:160 STATE RD
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1538
Practice Address - Country:US
Practice Address - Phone:603-738-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC520171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist