Healthcare Provider Details
I. General information
NPI: 1710279476
Provider Name (Legal Business Name): SCHERER CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2011
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
113 MAIN ST E
MEADVILLE MS
39653-0336
US
IV. Provider business mailing address
333 SAREPTA LN NW
MEADVILLE MS
39653-8223
US
V. Phone/Fax
- Phone: 601-503-7738
- Fax: 601-384-1878
- Phone: 601-503-7738
- Fax: 601-384-1878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 1169 |
| License Number State | MS |
VIII. Authorized Official
Name: DR.
DANIEL
D
SCHERER
Title or Position: OWNER/MANAGER
Credential: D.C.
Phone: 601-503-7738