Provider Demographics
NPI:1356613129
Name:SHERRELL ACUPUNCTURE
Entity type:Organization
Organization Name:SHERRELL ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-669-2949
Mailing Address - Street 1:5081 ELM CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1245
Mailing Address - Country:US
Mailing Address - Phone:303-669-2949
Mailing Address - Fax:
Practice Address - Street 1:8703 YATES DR
Practice Address - Street 2:SUITE 220-D
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6952
Practice Address - Country:US
Practice Address - Phone:303-669-2949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1640171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty