Provider Demographics
NPI:1356415475
Name:SHERMAN, JOHN GARRET (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GARRET
Last Name:SHERMAN
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 1:11819 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6619
Mailing Address - Country:US
Mailing Address - Phone:310-888-8762
Mailing Address - Fax:
Practice Address - Street 1:11819 WILSHIRE BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6619
Practice Address - Country:US
Practice Address - Phone:310-888-8762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC24998Medicare PIN
CAA44220Medicare UPIN