Provider Demographics
NPI:1033219647
Name:SHERMAN, DAVID A (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:A
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:325 THOMPSON RD
Mailing Address - Street 2:UPPER LEVEL
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-1504
Mailing Address - Country:US
Mailing Address - Phone:508-656-5227
Mailing Address - Fax:
Practice Address - Street 1:325 THOMPSON RD
Practice Address - Street 2:UPPER LEVEL
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-1504
Practice Address - Country:US
Practice Address - Phone:508-656-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY4516202OtherPTAN
MAY4516202OtherPTAN