Provider Demographics
NPI:1710279476
Name:SCHERER CHIROPRACTIC
Entity Type:Organization
Organization Name:SCHERER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:601-503-7738
Mailing Address - Street 1:333 SAREPTA LN NW
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39653-8223
Mailing Address - Country:US
Mailing Address - Phone:601-503-7738
Mailing Address - Fax:601-384-1878
Practice Address - Street 1:113 MAIN ST E
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:MS
Practice Address - Zip Code:39653-0336
Practice Address - Country:US
Practice Address - Phone:601-503-7738
Practice Address - Fax:601-384-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03784023Medicaid