Individual
DR. SHERYL L RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
319 ELLIOTT ST, BEVERLY, MA 01915
(978) 927-2607
(978) 927-2463
Mailing address
319 ELLIOTT ST, BEVERLY, MA 01915
(978) 927-2607
(978) 927-2463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2065
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1613006
—
MA
01
—
351127
HPHC
—
01
—
Y36462
BCBS
—
Enumeration date
11/15/2006
Last updated
12/06/2024
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