Provider Demographics
NPI:1932232675
Name:PERRY, CHERYL L (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:L
Last Name:PERRY
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 1:542 A STREET
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-5016
Mailing Address - Country:US
Mailing Address - Phone:510-881-5411
Mailing Address - Fax:510-886-9578
Practice Address - Street 1:542 A STREET
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-5016
Practice Address - Country:US
Practice Address - Phone:510-881-5411
Practice Address - Fax:510-886-9578
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 23678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0236780Medicare ID - Type Unspecified