Timothy John Sheehan, DC

Individual provider Active NPI Chiropractor · Winsted, MN

NPI 1447433727 · NPPES record last updated Dec 10, 2007

Key facts

NPI
1447433727
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2747 (MN)
Practice address
421 6TH St S
Winsted, MN 55395-1103
Phone
(320) 485-2380
Fax
(320) 485-4548
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

421 6TH St S
PO Box 127
Winsted, MN 55395-1103
Phone (320) 485-2380

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080314000164 MN Practitioner - Chiropractic 9830274877 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Sheehan Chiropractic Center Inc Chiropractor Current
since Jan 14, 1990
Accepting new patients

Locations

421 6th St S
Winsted, MN 55395
Phone (320) 485-2380

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2747 MN Yes

Addresses

Primary practice location

421 6TH St S
Winsted, MN 55395-1103

Mailing address

PO Box 127
Winsted, MN 55395-0127
Phone (320) 485-2380

Other identifiers

IdentifierTypeStateIssuer
3C470SHOtherMNBLUE CROSS BLUE SHIELD

Other providers in Winsted, MN

All providers in Winsted, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.