# NICHOLAS E SHEROCK JR DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700193810
- **Authorized official:** DR. NICHOLAS E SHEROCK JR. D.O. (PHYSICIAN)
- **Authorized official phone:** (330) 684-4707

## Contact information

- **Practice address:** 830 S MAIN ST, \#102, ORRVILLE, OH 44667-2291
- **Practice address phone:** (330) 684-4707
- **Practice address fax:** (330) 684-4733
- **Mailing address:** 830 S MAIN ST, \#102, ORRVILLE, OH 44667-2291
- **Mailing address phone:** (330) 684-4707
- **Mailing address fax:** (330) 684-4733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 34-005035 | OH | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 11/08/2010