Provider Demographics
NPI:1619622099
Name:SHEERS, MATTHEW (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:SHEERS
Suffix:
Gender:M
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 MILL BROOK RD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:NH
Mailing Address - Zip Code:03285-6351
Mailing Address - Country:US
Mailing Address - Phone:845-527-9062
Mailing Address - Fax:
Practice Address - Street 1:607 MILL BROOK RD
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:NH
Practice Address - Zip Code:03285-6351
Practice Address - Country:US
Practice Address - Phone:845-527-9062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date: