Provider Demographics
NPI:1306826110
Name:SCHERB, DANIEL ERIC (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ERIC
Last Name:SCHERB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 CEDAR ST
Mailing Address - Street 2:STE 175
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2054
Mailing Address - Country:US
Mailing Address - Phone:574-288-9660
Mailing Address - Fax:574-288-9665
Practice Address - Street 1:707 CEDAR ST
Practice Address - Street 2:STE 175
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-2054
Practice Address - Country:US
Practice Address - Phone:574-288-9660
Practice Address - Fax:574-288-9665
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01032463207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100151610Medicare ID - Type Unspecified
INC25588Medicare UPIN
IN166370Medicare ID - Type Unspecified