Provider Demographics
NPI:1164583696
Name:SHERMAN, ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8511 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4563
Mailing Address - Country:US
Mailing Address - Phone:919-461-9779
Mailing Address - Fax:919-463-0715
Practice Address - Street 1:8511 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-4563
Practice Address - Country:US
Practice Address - Phone:919-461-9779
Practice Address - Fax:919-463-0715
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC26-4021580OtherTAX IDENTIFICATION NUMBER
NC8908810Medicaid
NC08810OtherBLUE CROSS BLUE SHIELD
NC8908810Medicaid
NC049225Medicare UPIN