Provider Demographics
NPI:1760428965
Name:SHERMAN, MARY BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:BETH
Last Name:SHERMAN
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 1:1375 N CENTER POINT RD
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-1239
Mailing Address - Country:US
Mailing Address - Phone:319-393-3710
Mailing Address - Fax:319-294-8250
Practice Address - Street 1:1375 N CENTER POINT RD
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1239
Practice Address - Country:US
Practice Address - Phone:319-393-3710
Practice Address - Fax:319-294-8250
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAU72344Medicare UPIN
IA46256Medicare ID - Type Unspecified