Provider Demographics
NPI:1609817824
Name:SCHILLACI, SHERRY R (DC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:R
Last Name:SCHILLACI
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 1:188 FRIES MILL RD
Mailing Address - Street 2:SUITE K3
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2015
Mailing Address - Country:US
Mailing Address - Phone:856-728-0700
Mailing Address - Fax:856-728-6735
Practice Address - Street 1:188 FRIES MILL RD
Practice Address - Street 2:SUITE K3
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2015
Practice Address - Country:US
Practice Address - Phone:856-728-0700
Practice Address - Fax:856-728-6735
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00325900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ580516CXBMedicare ID - Type Unspecified