Healthcare Provider Details

I. General information

NPI: 1609993658
Provider Name (Legal Business Name): JOSEPH WILLIAM SHERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SEAVIEW TER APT I
SANTA MONICA CA
90401-3228
US

IV. Provider business mailing address

4206 E DAY MT SPOKANE RD
MEAD WA
99021-9377
US

V. Phone/Fax

Practice location:
  • Phone: 509-981-5675
  • Fax:
Mailing address:
  • Phone: 509-981-5675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License NumberMD00024877
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: