Healthcare Provider Details
I. General information
NPI: 1255306593
Provider Name (Legal Business Name): SHERRI GAYLE ZAFFRIN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 02/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 HORSESHOE LN
NORTH WALES PA
19454-4272
US
IV. Provider business mailing address
125 HORSESHOE LN
NORTH WALES PA
19454-4272
US
V. Phone/Fax
- Phone: 215-361-1511
- Fax:
- Phone: 215-361-1511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC003534L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: