Provider Demographics
NPI:1104911023
Name:MORRISSETTE, SHERRY B (DC, DACNB)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:B
Last Name:MORRISSETTE
Suffix:
Gender:F
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 NOOSENECK HILL RD
Mailing Address - Street 2:A
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-1511
Mailing Address - Country:US
Mailing Address - Phone:401-397-9948
Mailing Address - Fax:401-397-6218
Practice Address - Street 1:16 NOOSENECK HILL RD
Practice Address - Street 2:A
Practice Address - City:WEST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02817-1511
Practice Address - Country:US
Practice Address - Phone:401-397-9948
Practice Address - Fax:401-397-6218
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00351111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI359021379Medicare ID - Type Unspecified
RIU485319Medicare UPIN