Provider Demographics
NPI:1932563954
Name:SHERER CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:SHERER CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHERER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-498-6444
Mailing Address - Street 1:321 E CARPENTER ST
Mailing Address - Street 2:
Mailing Address - City:JERSEYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62052-1861
Mailing Address - Country:US
Mailing Address - Phone:618-498-6444
Mailing Address - Fax:
Practice Address - Street 1:321 E CARPENTER ST
Practice Address - Street 2:
Practice Address - City:JERSEYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62052-1861
Practice Address - Country:US
Practice Address - Phone:618-498-6444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty