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Joseph J Sheridan

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

7850 Vista Hill Ave, San Diego, CA 92123-2717

PECOS Enrollment

This provider is enrolled in PECOS as JOSEPH SHERIDAN.

Based on the most recent information from CMS, provider Joseph J Sheridan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1285773382
Provider Type
Individual
Full Name
Sheridan, Joseph J
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/5/2007
Last Updated
10/7/2022

Contact Information

Practice Location

7850 Vista Hill Ave, San Diego, CA 92123-2717

(619) 630-1036

(619) 609-0059

Mailing Location

PO Box 1770, La Mesa, CA 91944-1770

(619) 464-1165

(619) 567-1011

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A97596 California
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A97596 California

Joseph J Sheridan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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