Provider Demographics
NPI:1598952111
Name:SHERRY, ALFRED RALPH (DC)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:RALPH
Last Name:SHERRY
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:PO BOX 403
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-0403
Mailing Address - Country:US
Mailing Address - Phone:410-521-2001
Mailing Address - Fax:
Practice Address - Street 1:324 BONNIE MEADOW CIR
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-6221
Practice Address - Country:US
Practice Address - Phone:410-521-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD29205OtherONE NET
MD3437940OtherAETNA
MDM762OtherBCBS OF MD.
MD200228OtherUNITED HEALTHCARE
MD3437940OtherAETNA