Provider Demographics
NPI:1871749614
Name:SHERMAN, ALLEN EDMUND (DPM, LAC)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:EDMUND
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DPM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8051 E DEL ACERO DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2210
Mailing Address - Country:US
Mailing Address - Phone:602-478-5495
Mailing Address - Fax:
Practice Address - Street 1:8051 E DEL ACERO DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2210
Practice Address - Country:US
Practice Address - Phone:602-478-5495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0405171100000X
AZ0272213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No171100000XOther Service ProvidersAcupuncturist