MEDICARE: SHERMAN CHIROPRACTIC HOLISTIC HEALTH CENTER

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
1	261QH0100X	Health Service Clinic/Center	38MC00217300	NJ

General Provider Information

NPI Number	:	1881991909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERMAN CHIROPRACTIC HOLISTIC HEALTH CENTER

Provider Business Mailing Address
First Line	:	6717 ATLANTIC AVE
Second Line	:
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-2621
Country	:	US
Telephone Number	:	609-822-1227
Fax Number	:	609-823-2806

Provider Business Practice Location Address
First Line	:	6717 ATLANTIC AVE
Second Line	:
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-2621
Country	:	US
Telephone Number	:	609-822-1227
Fax Number	:	609-823-2806

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	MICHAEL TERRY SHERMAN
Credential	:	D.C.
Telephone Number	:	609-822-1227

Provider Enumeration Date	:	02/25/2011
Last Update Date	:	02/25/2011

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