Provider Demographics
NPI:1558342394
Name:WERKMEISTER, SHERRA LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERRA
Middle Name:LEE
Last Name:WERKMEISTER
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:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:REIDVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29375-0355
Mailing Address - Country:US
Mailing Address - Phone:864-801-3230
Mailing Address - Fax:864-801-3223
Practice Address - Street 1:1110 BERRY SHOALS RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-7201
Practice Address - Country:US
Practice Address - Phone:864-801-3230
Practice Address - Fax:864-801-3223
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2748Medicaid
SCAA06340281Medicare ID - Type UnspecifiedMEDICARE