Provider Demographics
NPI:1215808449
Name:SHERRY CHRYSLER DODGE JEEP INC
Entity type:Organization
Organization Name:SHERRY CHRYSLER DODGE JEEP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLIFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-778-0830
Mailing Address - Street 1:PO BOX 742
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-0742
Mailing Address - Country:US
Mailing Address - Phone:937-778-0830
Mailing Address - Fax:937-778-3703
Practice Address - Street 1:8645 N COUNTY ROAD 25A
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-9512
Practice Address - Country:US
Practice Address - Phone:937-778-0830
Practice Address - Fax:937-778-3703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty