| Theo Sheridan, DC | |
|
22120 Midland Dr Ste 1, Shawnee, KS 66226-3554 | |
| (913) 745-4064 | |
| (913) 745-4352 |
| Full Name | Theo Sheridan |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 22120 Midland Dr Ste 1, Shawnee, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215791439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 10-06303 (Kansas) | Primary |
| Provider Name | Fit Muscle & Joint Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093088320 PECOS PAC ID: 5991935579 Enrollment ID: O20140226001886 |
| Mailing Address | Practice Location Address |
|---|---|
| Theo Sheridan, DC 22120 Midland Dr Ste 1, Shawnee, KS 66226-3554 Ph: (913) 745-4064 | Theo Sheridan, DC 22120 Midland Dr Ste 1, Shawnee, KS 66226-3554 Ph: (913) 745-4064 |
Zachary Alan Jaskinia, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7410 Switzer St, Shawnee, KS 66203 Phone: 913-962-7408 Fax: 913-962-7416 | |
Dr. Meredith R Gianforte, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22742 Midland Dr, Shawnee, KS 66226 Phone: 913-441-2293 Fax: 913-422-4552 | |
Dr. Eric James Thompson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6308 Monrovia St, Shawnee, KS 66216 Phone: 913-631-8888 Fax: 913-962-1627 | |
Dr. Shannon Pishny, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7410 Switzer St, Shawnee, KS 66203 Phone: 913-962-7408 Fax: 913-962-7416 | |
Dr. Dustin H. Moses, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15945 W 65th St, Shawnee, KS 66217 Phone: 913-766-7292 Fax: 913-766-3780 | |
Jake Vincent Bruna, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 21640 Midland Dr, Shawnee, KS 66218 Phone: 913-422-1900 | |
Fit Muscle & Joint Clinic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 22120 Midland Dr Ste 1, Shawnee, KS 66226 Phone: 913-745-4064 Fax: 913-745-4352 |