Provider Demographics
NPI:1710989611
Name:SHERWOOD, SHERI A (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:A
Last Name:SHERWOOD
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 1:410 BELLEVUE WAY SE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6672
Mailing Address - Country:US
Mailing Address - Phone:425-454-2311
Mailing Address - Fax:425-462-5034
Practice Address - Street 1:410 BELLEVUE WAY SE
Practice Address - Street 2:SUITE 202
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6672
Practice Address - Country:US
Practice Address - Phone:425-454-2311
Practice Address - Fax:425-462-5034
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHOOOO2794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB22707Medicare PIN
WAU41046Medicare UPIN