Healthcare Provider Details

I. General information

NPI: 1861663221
Provider Name (Legal Business Name): SHERRI T BORER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 07/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W MICHIGAN AVE
SALINE MI
48176-1327
US

IV. Provider business mailing address

210 W MICHIGAN AVE
SALINE MI
48176-1327
US

V. Phone/Fax

Practice location:
  • Phone: 734-944-7200
  • Fax: 734-944-8070
Mailing address:
  • Phone: 734-944-7200
  • Fax: 734-944-8070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301007960
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: