Provider Demographics
NPI:1639188865
Name:SHEEKEY, OWEN J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:OWEN
Middle Name:J
Last Name:SHEEKEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1138 E CHESTNUT AVE
Mailing Address - Street 2:SUITE 8A
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5053
Mailing Address - Country:US
Mailing Address - Phone:856-696-2232
Mailing Address - Fax:856-696-8052
Practice Address - Street 1:1138 E CHESTNUT AVE
Practice Address - Street 2:SUITE 8A
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5053
Practice Address - Country:US
Practice Address - Phone:856-696-2232
Practice Address - Fax:856-696-8052
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA031034207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSH3977901Medicaid
NJSH3977901Medicaid
SH561732Medicare ID - Type Unspecified