Provider Demographics
NPI:1053428912
Name:HINSON, SHERWOOD FOREST JR (DC)
Entity type:Individual
Prefix:
First Name:SHERWOOD
Middle Name:FOREST
Last Name:HINSON
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3028
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-3028
Mailing Address - Country:US
Mailing Address - Phone:910-521-7800
Mailing Address - Fax:910-521-7893
Practice Address - Street 1:401 E 3RD ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-8889
Practice Address - Country:US
Practice Address - Phone:910-521-7800
Practice Address - Fax:910-521-7893
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1427111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908514Medicaid
NC8908514Medicaid
NCT64454Medicare UPIN