Provider Demographics
NPI:1982788352
Name:DR JAMES D SHEEN PC
Entity Type:Organization
Organization Name:DR JAMES D SHEEN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-236-2134
Mailing Address - Street 1:203 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-3429
Mailing Address - Country:US
Mailing Address - Phone:308-236-2134
Mailing Address - Fax:308-338-5400
Practice Address - Street 1:203 W 32ND ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-3429
Practice Address - Country:US
Practice Address - Phone:308-236-2134
Practice Address - Fax:308-338-5400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR JAMES D SHEEN PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-24
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE36647OtherBC/BS
NE36647OtherBC/BS
NEU54016Medicare UPIN
NE268526SHMedicare ID - Type Unspecified