Provider Demographics
NPI:1457380255
Name:BALLINGER, SHERYL A (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:A
Last Name:BALLINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 ASHLEY OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7023
Mailing Address - Country:US
Mailing Address - Phone:813-991-5450
Mailing Address - Fax:813-991-5453
Practice Address - Street 1:2142 ASHLEY OAKS CIR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-7023
Practice Address - Country:US
Practice Address - Phone:813-991-5450
Practice Address - Fax:813-991-5453
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004163111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT-55673Medicare UPIN
FL88073Medicare ID - Type Unspecified