Provider Demographics
NPI:1306066063
Name:NEESE, SHEILA GERALDINE (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:GERALDINE
Last Name:NEESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:425 PATTERSON RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1953
Mailing Address - Country:US
Mailing Address - Phone:970-298-7499
Mailing Address - Fax:970-298-7488
Practice Address - Street 1:425 PATTERSON RD
Practice Address - Street 2:SUITE 401
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-1953
Practice Address - Country:US
Practice Address - Phone:970-298-7499
Practice Address - Fax:970-298-7488
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01062327A207RI0200X
CO47822207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1306066063Medicaid
CO54138213Medicaid
UT1306066063Medicaid