Individual
MR. SHERMAN GALE RORICK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7281
Mailing address
13906 PARENT RD, NEW HAVEN, IN 46774-9716
(260) 493-2752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28155468A
IN
163WM0705X
Medical-Surgical Registered Nurse
28155468A
IN
282NC0060X
Critical Access Hospital
28155468A
IN
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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