Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 08658 | IA |
N | 213EG0000X | General Practice | 08658 | IA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 019031557 | IL |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 021002868 | IL |
NPI | 1013144328 |
---|---|
Provider Name | Dr. Erin Mj Sheffield |
First Address | Quincy, IL 62301-4096 |
Second Address | Quincy, IL 62305-5843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2009 |
Last Update Date | 10/05/2018 |