STERLING JEREL SHORES


Address: 2301 Ge Rd Apt 12, Bloomington, IL 61704-3425
Phone: 2533063782

STERLING JEREL SHORES (NPI# 1366684086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366684086
Entity Type Individual
Full Name STERLING JEREL SHORES
Practice Address 2301 Ge Rd Apt 12
Bloomington
IL 61704-3425
Practice Telephone 2533063782
Mailing Telephone 2533063782
Enumeration Date 2009-03-26
Last Update Date 2009-03-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist OT00004190 WA Other Service Providers
Y 174400000X Specialist 31004741A IN Other Service Providers

Office Location

Street Address 2301 GE RD APT 12
City BLOOMINGTON
State IL
Zip Code 61704-3425

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578931796 Gailey Westlund Specialist 2120 W Old Shakopee Rd # 3, Bloomington, MN 55431-3000 2015-09-03
1063719169 Robert A Spicer Specialist 5225 W Vernal Pike, Bloomington, IN 47404-9661 2011-02-25
1073815882 Stephen G Moore Specialist 2749 E Covenanter Dr, Bloomington, IN 47401-5454 2010-11-30
1508172099 Annabelle L Ogerio Specialist 1211 Broad Creek Rd, Bloomington, IL 61704-8536 2010-08-23
1205083417 Anne J Ford Msw Licsw LLC Specialist 9810 Edgewood Rd, Bloomington, MN 55438-1755 2008-08-20
1700066008 Kab Medical Associates, Inc Specialist 2998 S Sare Rd, Bloomington, IN 47401-4330 2007-11-05
1164557799 Biofeedback Training and Treatment Center, Inc. Specialist 5001 American Blvd W Ste 980, Biofeedback Training & Treatment Center, Inc., Bloomington, MN 55437-1164 2007-02-22
1093877151 Alan B Somers Specialist 3800 Commodore Trl, Bloomington, IN 47408-9423 2006-12-15
1174692115 Taehwan Kim Specialist 5342 Paola Cir, Bloomington, MN 55437-1052 2006-11-06
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Competitor

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City BLOOMINGTON
Zip Code 61704

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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