Provider Demographics
NPI:1982918413
Name:OLLIE, SHERYL ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ANNE
Last Name:OLLIE
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 1:354 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5017
Mailing Address - Country:US
Mailing Address - Phone:603-630-6155
Mailing Address - Fax:
Practice Address - Street 1:327 BROADWAY
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-2602
Practice Address - Country:US
Practice Address - Phone:781-599-2990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1103111N00000X
NH7110104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor