Provider Demographics
NPI:1326131368
Name:SHERRIER, WILLIAM (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:SHERRIER
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 1:1780 S NOVA RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1777
Mailing Address - Country:US
Mailing Address - Phone:386-788-4778
Mailing Address - Fax:386-788-8110
Practice Address - Street 1:1780 S NOVA RD
Practice Address - Street 2:SUITE 4
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-1777
Practice Address - Country:US
Practice Address - Phone:386-788-4778
Practice Address - Fax:386-788-8110
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7428745OtherCIGNA
FL55843OtherBCBS
353995OtherAVMED
P00841469OtherMEDICARE RAILROAD
E2035YMedicare PIN
U01287Medicare UPIN