Provider Demographics
NPI:1093330318
Name:GALE, SHERRI LEE
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LEE
Last Name:GALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 TOWNSHIP ROAD 190 W
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-9448
Mailing Address - Country:US
Mailing Address - Phone:567-305-0342
Mailing Address - Fax:
Practice Address - Street 1:289 TOWNSHIP ROAD 190 W
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-9448
Practice Address - Country:US
Practice Address - Phone:567-305-0342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist