Provider Demographics
NPI:1063580348
Name:SHERMAN, ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 N COPPER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-5811
Mailing Address - Country:US
Mailing Address - Phone:520-367-4646
Mailing Address - Fax:520-203-7346
Practice Address - Street 1:512 E WHITEHOUSE CANYON RD STE 100
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-0551
Practice Address - Country:US
Practice Address - Phone:520-367-4646
Practice Address - Fax:520-203-7346
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8761111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor