Provider Demographics
NPI:1710928577
Name:SCHEUERMAN, TIM
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:
Last Name:SCHEUERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46175 WESTLAKE DR
Mailing Address - Street 2:STE. 200
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5873
Mailing Address - Country:US
Mailing Address - Phone:703-444-1182
Mailing Address - Fax:703-444-1183
Practice Address - Street 1:46175 WESTLAKE DR
Practice Address - Street 2:STE. 200
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5873
Practice Address - Country:US
Practice Address - Phone:703-444-1182
Practice Address - Fax:703-444-1183
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor