Provider Demographics
NPI:1306920699
Name:LEVINE SHERMAN, LINDA JOYCE (DC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JOYCE
Last Name:LEVINE SHERMAN
Suffix:
Gender:F
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:PO BOX 242
Mailing Address - Street 2:187 RUSSELL ST
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035
Mailing Address - Country:US
Mailing Address - Phone:413-586-6521
Mailing Address - Fax:413-584-4067
Practice Address - Street 1:187 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035
Practice Address - Country:US
Practice Address - Phone:413-586-6521
Practice Address - Fax:413-584-4067
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
351274OtherHARVARD PILGRIM
351274OtherHARVARD PILGRIM
U22126Medicare UPIN