Provider Demographics
NPI:1881991909
Name:SHERMAN CHIROPRACTIC HOLISTIC HEALTH CENTER
Entity type:Organization
Organization Name:SHERMAN CHIROPRACTIC HOLISTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-822-1227
Mailing Address - Street 1:6717 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-2621
Mailing Address - Country:US
Mailing Address - Phone:609-822-1227
Mailing Address - Fax:609-823-2806
Practice Address - Street 1:6717 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:VENTNOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08406-2621
Practice Address - Country:US
Practice Address - Phone:609-822-1227
Practice Address - Fax:609-823-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00217300261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ034794Medicare UPIN