Provider Demographics
NPI:1992881379
Name:SHERMAN, ALAN DOUGLAS (DC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:DOUGLAS
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:ALAN
Other - Middle Name:DOUGLAS
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:22235 SHERMAN WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1048
Mailing Address - Country:US
Mailing Address - Phone:818-888-8058
Mailing Address - Fax:818-702-6289
Practice Address - Street 1:22235 SHERMAN WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1048
Practice Address - Country:US
Practice Address - Phone:818-888-8058
Practice Address - Fax:818-702-6289
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22162111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician