Provider Demographics
NPI:1861677221
Name:JULIE N SHERBIN SHER DO PLLC
Entity Type:Organization
Organization Name:JULIE N SHERBIN SHER DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-466-5911
Mailing Address - Street 1:41400 DEQUINDRE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-3751
Mailing Address - Country:US
Mailing Address - Phone:586-466-5911
Mailing Address - Fax:248-847-1822
Practice Address - Street 1:41400 DEQUINDRE RD STE 107
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-3751
Practice Address - Country:US
Practice Address - Phone:586-466-5911
Practice Address - Fax:248-847-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010135792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P10940Medicare PIN
MIH47079Medicare UPIN