Provider Demographics
NPI:1174637557
Name:WRIGHT, SHERRI L (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12700 MCMANUS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-4407
Mailing Address - Country:US
Mailing Address - Phone:757-223-5444
Mailing Address - Fax:757-240-5767
Practice Address - Street 1:12700 MCMANUS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4407
Practice Address - Country:US
Practice Address - Phone:757-223-5444
Practice Address - Fax:757-240-5767
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA014556018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU74431Medicare UPIN
VA00X845W01Medicare PIN