Provider Demographics
NPI:1750505673
Name:STEMPER, SHERRY LYNNE (ND)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:LYNNE
Last Name:STEMPER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-1614
Mailing Address - Country:US
Mailing Address - Phone:203-579-4261
Mailing Address - Fax:203-579-1000
Practice Address - Street 1:2270 PARK AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-1614
Practice Address - Country:US
Practice Address - Phone:203-579-4261
Practice Address - Fax:203-579-1000
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT163175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110000163CT01OtherANTHEM BLUE CROSS
CTP414400OtherOXFORD HEALTH PLANS
CT670899OtherCONNECTICARE