Provider Demographics
NPI:1154344117
Name:ERROL SHERMAN D.P.M., PC
Entity type:Organization
Organization Name:ERROL SHERMAN D.P.M., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERROL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-968-1400
Mailing Address - Street 1:26106 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1040
Mailing Address - Country:US
Mailing Address - Phone:248-968-1400
Mailing Address - Fax:248-968-1238
Practice Address - Street 1:26106 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1040
Practice Address - Country:US
Practice Address - Phone:248-968-1400
Practice Address - Fax:248-968-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901000864213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5631872OtherBCBS ID NUMBER
MI1560851Medicaid
MI1560851Medicaid
MI0P09170Medicare PIN