Provider Demographics
NPI:1548347032
Name:SHEEHAN & ZAHNER ORTHOPEDIC ASSOCIATES PC
Entity type:Organization
Organization Name:SHEEHAN & ZAHNER ORTHOPEDIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZAHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-787-2308
Mailing Address - Street 1:736 CAMBRIDGE ST - CCP9
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3514
Mailing Address - Country:US
Mailing Address - Phone:617-787-2308
Mailing Address - Fax:617-787-9122
Practice Address - Street 1:736 CAMBRIDGE ST - CCP9
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3514
Practice Address - Country:US
Practice Address - Phone:617-787-2308
Practice Address - Fax:617-787-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0314620001OtherDME DURABLE MEDICAL EQUIP
MA0314620001Medicare NSC