Provider Demographics
NPI:1972707750
Name:ROBERT SHERMAN, D.C., P.C.
Entity Type:Organization
Organization Name:ROBERT SHERMAN, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-841-3347
Mailing Address - Street 1:723 N COPPER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-5811
Mailing Address - Country:US
Mailing Address - Phone:503-841-3347
Mailing Address - Fax:520-771-9501
Practice Address - Street 1:3280 S CAMINO DEL SOL STE 124
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85622-4648
Practice Address - Country:US
Practice Address - Phone:503-841-3347
Practice Address - Fax:503-771-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1422111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR100059Medicare ID - Type Unspecified