Provider Demographics
NPI:1871599555
Name:SHERMAN, CHRISTOPHER A (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:A
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7640 SYLVANIA AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9729
Mailing Address - Country:US
Mailing Address - Phone:419-517-1001
Mailing Address - Fax:419-517-1021
Practice Address - Street 1:7640 SYLVANIA AVE
Practice Address - Street 2:SUITE K
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9729
Practice Address - Country:US
Practice Address - Phone:419-517-1001
Practice Address - Fax:419-517-1021
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35078303207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI13114OtherHEALTH PLAN OF MI
MI142098OtherCARE CHOICES
OH344428794003OtherHUMANA/TRICARE
MI4220020Medicaid
OH7977179OtherAETNA
OH000000142538OtherANTHEM
OH344428256OtherEMERALD
OH344428256OtherBEECH STREET
OH344428794028OtherCARESOURCES
OH65144OtherNATIONWIDE
OH2194272Medicaid
OH01-06912OtherUNITED
OH03759OtherPARAMOUNT
OH7977179OtherAETNA
OH01-06912OtherUNITED
OH03759OtherPARAMOUNT