Provider Demographics
NPI:1326181892
Name:SAROKAS, SHERYL (LIC AC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:SAROKAS
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MUNROE ST
Mailing Address - Street 2:#2
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2034
Mailing Address - Country:US
Mailing Address - Phone:617-718-7555
Mailing Address - Fax:
Practice Address - Street 1:21 BOW ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-2933
Practice Address - Country:US
Practice Address - Phone:617-718-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226531171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist