Provider Demographics
NPI:1710550397
Name:SHERIDAN, CLAIRE E (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:E
Last Name:SHERIDAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 WEALTHY ST SE STE 220
Mailing Address - Street 2:
Mailing Address - City:EAST GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-3054
Mailing Address - Country:US
Mailing Address - Phone:616-458-2348
Mailing Address - Fax:
Practice Address - Street 1:2213 WEALTHY ST SE STE 220
Practice Address - Street 2:
Practice Address - City:EAST GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-3054
Practice Address - Country:US
Practice Address - Phone:616-458-2348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301011126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor