Provider Demographics
NPI:1740486588
Name:SHEEHAN, LINDA M
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 FENWICK ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-2630
Mailing Address - Country:US
Mailing Address - Phone:413-783-2621
Mailing Address - Fax:413-783-2621
Practice Address - Street 1:130 FENWICK ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109-2630
Practice Address - Country:US
Practice Address - Phone:413-783-2621
Practice Address - Fax:413-783-2621
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health