Provider Demographics
NPI:1982965836
Name:SHEERIN, JANE ELIZABETTH (L AC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ELIZABETTH
Last Name:SHEERIN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1161
Mailing Address - Street 2:324 FIRST AVENUE
Mailing Address - City:LEMONT
Mailing Address - State:PA
Mailing Address - Zip Code:16851-1161
Mailing Address - Country:US
Mailing Address - Phone:814-237-1966
Mailing Address - Fax:
Practice Address - Street 1:324 FIRST AVENUE
Practice Address - Street 2:BOX 1161
Practice Address - City:LEMONT
Practice Address - State:PA
Practice Address - Zip Code:16851-1161
Practice Address - Country:US
Practice Address - Phone:814-237-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000235L171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist