Provider Demographics
NPI:1619760121
Name:SHERRY L. SHAMP, DC PLC
Entity type:Organization
Organization Name:SHERRY L. SHAMP, DC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-957-4478
Mailing Address - Street 1:3737 BAHIA VISTA ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2422
Mailing Address - Country:US
Mailing Address - Phone:941-957-4478
Mailing Address - Fax:
Practice Address - Street 1:3737 BAHIA VISTA ST UNIT 5
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2422
Practice Address - Country:US
Practice Address - Phone:941-957-4478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty