Provider Demographics
NPI:1518399260
Name:SHEEHAN, COLLIN GERALD (DC)
Entity Type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:GERALD
Last Name:SHEEHAN
Suffix:
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 1:1785 LOUCKS RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-9710
Mailing Address - Country:US
Mailing Address - Phone:717-767-4151
Mailing Address - Fax:
Practice Address - Street 1:73 E FORREST AVE STE 140-E
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1406
Practice Address - Country:US
Practice Address - Phone:717-942-2603
Practice Address - Fax:717-942-2864
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010760111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation