Provider Demographics
NPI:1598130536
Name:JANICE SHERMAN LLC
Entity Type:Organization
Organization Name:JANICE SHERMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHOPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-293-2468
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:GLENVIL
Mailing Address - State:NE
Mailing Address - Zip Code:68941-0104
Mailing Address - Country:US
Mailing Address - Phone:402-705-3337
Mailing Address - Fax:402-771-2238
Practice Address - Street 1:401 SOUTH 5TH STREET #2
Practice Address - Street 2:
Practice Address - City:GLENVIL
Practice Address - State:NE
Practice Address - Zip Code:68941-0104
Practice Address - Country:US
Practice Address - Phone:402-705-3337
Practice Address - Fax:402-771-2238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4675101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty