Provider Demographics
NPI:1225007214
Name:RINE, SHERRIE YVONNE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERRIE
Middle Name:YVONNE
Last Name:RINE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 JOHN F KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-8841
Mailing Address - Country:US
Mailing Address - Phone:501-771-9993
Mailing Address - Fax:501-771-9154
Practice Address - Street 1:3615 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-8841
Practice Address - Country:US
Practice Address - Phone:501-771-9993
Practice Address - Fax:501-771-9154
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5U551Medicare ID - Type Unspecified
ARU77857Medicare UPIN