Provider Demographics
NPI:1073605853
Name:SHERMAN, CAREY L (DPH)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:L
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 W LINDSEY
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4101
Mailing Address - Country:US
Mailing Address - Phone:405-329-6001
Mailing Address - Fax:405-329-6002
Practice Address - Street 1:1811 W LINDSEY
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4101
Practice Address - Country:US
Practice Address - Phone:405-329-6001
Practice Address - Fax:405-329-6002
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0182330001Medicare ID - Type Unspecified