Provider Demographics
NPI:1902083835
Name:WHITCOMB, SHERRI LYNN (PA-C)
Entity type:Individual
Prefix:MISS
First Name:SHERRI
Middle Name:LYNN
Last Name:WHITCOMB
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Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:12780 ROACHTON ROAD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5230
Mailing Address - Country:US
Mailing Address - Phone:419-872-0777
Mailing Address - Fax:419-872-2369
Practice Address - Street 1:12780 ROACHTON ROAD
Practice Address - Street 2:SUITE #1
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5230
Practice Address - Country:US
Practice Address - Phone:419-872-0777
Practice Address - Fax:419-872-2369
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH50.001907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant