Provider Demographics
NPI:1770737710
Name:WINN, SHERALYN MARGARET (DC)
Entity type:Individual
Prefix:DR
First Name:SHERALYN
Middle Name:MARGARET
Last Name:WINN
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 1:507 E 1ST ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3332
Mailing Address - Country:US
Mailing Address - Phone:714-544-2423
Mailing Address - Fax:
Practice Address - Street 1:507 E 1ST ST
Practice Address - Street 2:SUITE H
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3332
Practice Address - Country:US
Practice Address - Phone:714-544-2423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29630111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner