Provider Demographics
NPI:1346843992
Name:HOENKE, SHERRY J
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:J
Last Name:HOENKE
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 1:2220 1ST ST W UNIT 10122201
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-2429
Mailing Address - Country:US
Mailing Address - Phone:701-300-0574
Mailing Address - Fax:
Practice Address - Street 1:2220 1ST ST W UNIT 10122201
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-2429
Practice Address - Country:US
Practice Address - Phone:701-300-0574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND17108251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health