Provider Demographics
NPI:1992893002
Name:ERBE GRAHAM, SHERRI ANN (DC)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANN
Last Name:ERBE GRAHAM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 BALTIMORE PIKE
Mailing Address - Street 2:STE A
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-6705
Mailing Address - Country:US
Mailing Address - Phone:717-632-0059
Mailing Address - Fax:
Practice Address - Street 1:1785 BALTIMORE PIKE
Practice Address - Street 2:STE A
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-6705
Practice Address - Country:US
Practice Address - Phone:717-632-0059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007805L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA400372OtherHIGHMARK BLUE SHIELD
PA400372OtherHIGHMARK BLUE SHIELD