MEDICARE: PLACER CHRIPRACTIC

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	DC25533	CA
2	111N00000X	Chiropractor	DC27169	CA

General Provider Information

NPI Number	:	1700987997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLACER CHRIPRACTIC

Provider Business Mailing Address
First Line	:	2221 SUNSET BLVD STE 103
Second Line	:
City	:	ROCKLIN
State	:	CA
Zip	:	95765-4784
Country	:	US
Telephone Number	:	916-435-1522
Fax Number	:	916-435-2216

Provider Business Practice Location Address
First Line	:	2221 SUNSET BLVD
Second Line	:	STE 103
City	:	ROCKLIN
State	:	CA
Zip	:	95765-4784
Country	:	US
Telephone Number	:	916-435-1522
Fax Number	:	916-435-2216

Authorized Official
Title or Position	:	DR. AND OWNER
Name	:	DR. RONALD SHERROD
Credential	:	DC
Telephone Number	:	916-435-1522

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	08/22/2020

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Directions to “PLACER CHRIPRACTIC ” Practice Location

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