Provider Demographics
NPI:1518618032
Name:OETZEL, SHERRI J
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:J
Last Name:OETZEL
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 1:208 N FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617-2367
Mailing Address - Country:US
Mailing Address - Phone:301-970-9074
Mailing Address - Fax:
Practice Address - Street 1:208 N FIELD WAY
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:MD
Practice Address - Zip Code:21617-2367
Practice Address - Country:US
Practice Address - Phone:301-970-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist