Basic Information
Provider Information
NPI: 1518618032
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAYERS
FirstName: SHERRI
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 EAGLE AVE
Address2:  
City: OCEAN
State: NJ
PostalCode: 077127631
CountryCode: US
TelephoneNumber: 7326606200
FaxNumber: 7326606201
Practice Location
Address1: 1200 EAGLE AVE
Address2:  
City: OCEAN
State: NJ
PostalCode: 077127631
CountryCode: US
TelephoneNumber: 7326606200
FaxNumber: 7326606201
Other Information
ProviderEnumerationDate: 01/17/2022
LastUpdateDate: 01/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171100000X  Y Other Service ProvidersAcupuncturist 

No ID Information.


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