Provider Demographics
NPI:1447349428
Name:SHEARMAN, THOMAS G (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:G
Last Name:SHEARMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 W 5370 S
Mailing Address - Street 2:SUITE 175
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5436
Mailing Address - Country:US
Mailing Address - Phone:801-270-0222
Mailing Address - Fax:801-261-5260
Practice Address - Street 1:1035 W 5370 S
Practice Address - Street 2:SUITE 175
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-5436
Practice Address - Country:US
Practice Address - Phone:801-270-0222
Practice Address - Fax:801-261-5260
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT169388-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT107001039101OtherIHC PROVIDER ID
UTP00064123OtherRR MEDICARE ID
UT107001039101OtherIHC PROVIDER ID