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NPI Code Detail

MEDICARE: CHERYL A SHERMAN PA-C

MEDICARE: CHERYL A SHERMAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA779ME
2363AS0400XSurgical Physician AssistantPA-779ME

General Provider Information

NPI Number : 1578559100
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL A SHERMAN PA-C
Provider Business Mailing Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7027
Country : US
Telephone Number : 207-795-0111
Fax Number : 207-795-2766
Provider Business Practice Location Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7027
Country : US
Telephone Number : 207-795-7575
Fax Number : 207-795-7199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 11/02/2020

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Directions to “ CHERYL A SHERMAN PA-C” Practice Location

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