Provider Demographics
NPI:1942429915
Name:SHERRY, ROBERT BRETT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRETT
Last Name:SHERRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 BLUE HILL AVE
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2122
Mailing Address - Country:US
Mailing Address - Phone:617-298-3200
Mailing Address - Fax:617-298-3233
Practice Address - Street 1:1551 BLUE HILL AVE
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2122
Practice Address - Country:US
Practice Address - Phone:617-298-3200
Practice Address - Fax:617-298-3233
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2674111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA3306OtherHARVARD PILGRIM HEALTH CA
MA1120356OtherAETNA
MA8724026001OtherCIGNA
MAY36983OtherBLUE CROSS BLUE SHIELD
MAY36983OtherBLUE CROSS BLUE SHIELD