Healthcare Provider Details

I. General information

NPI: 1912811373
Provider Name (Legal Business Name): JOHN SHERWOOD PRSS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 BROOKLYN ST STE 2
MORRISVILLE VT
05661-6100
US

IV. Provider business mailing address

275 BROOKLYN ST STE 2
MORRISVILLE VT
05661-6100
US

V. Phone/Fax

Practice location:
  • Phone: 802-851-8120
  • Fax:
Mailing address:
  • Phone: 802-851-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number194.0000086
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: