Doctor Name: | DR. NICHOLAS E SHEROCK |
NPI Number: | 1134115926 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34005035 |
Business Practice Address: | 830 S Main St #102 Orrville, OH - 44667 |
Business Phone Number: | 3307659104 |
Business Fax Number: | 3306820747 |
Mailing Address: | 830 S Main St, #102 ORRVILLE |
State: | OH |
Postal Code: | 44667 |
Phone Number: | 3307659104 |
Fax Number: | 3306820747 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34005035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |