Provider Demographics
NPI:1194885756
Name:SHERIFF, ANDREW (DC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:SHERIFF
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 1:1290 WOODBURY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3222
Mailing Address - Country:US
Mailing Address - Phone:603-431-8966
Mailing Address - Fax:603-430-8098
Practice Address - Street 1:1290 WOODBURY AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3222
Practice Address - Country:US
Practice Address - Phone:603-431-8966
Practice Address - Fax:603-430-8098
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15810511084A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor