MEDICARE: DR. JON P SHERMAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH8140	FL

General Provider Information

NPI Number	:	1003923160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON P SHERMAN D.C.

Provider Business Mailing Address
First Line	:	PO BOX 18215
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32417-8215
Country	:	US
Telephone Number	:	850-249-9355
Fax Number	:	850-249-8406

Provider Business Practice Location Address
First Line	:	8406 P BEACH PKWY
Second Line	:	SUITE D
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407
Country	:	US
Telephone Number	:	850-249-9355
Fax Number	:	850-249-8406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	07/08/2007

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