Provider Demographics
NPI:1598716276
Name:BINGHAM, SHERI FAYE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:FAYE
Last Name:BINGHAM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHERI
Other - Middle Name:FAYE
Other - Last Name:BUNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1707 CUMBERLAND FALLS HWY
Mailing Address - Street 2:UPPER LEVEL #1
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2744
Mailing Address - Country:US
Mailing Address - Phone:606-526-8856
Mailing Address - Fax:606-526-8902
Practice Address - Street 1:1707CUMBERLAND FALLS HWY
Practice Address - Street 2:UPPER LEVEL #1
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2744
Practice Address - Country:US
Practice Address - Phone:606-526-8856
Practice Address - Fax:606-526-8902
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY350050947OtherRAILROAD RETIREMENT
KY8500005700Medicaid
KY1202932OtherCHA HEALTH
KYCHIOtherC87012
KY000000187227OtherBLUE CROSS / BLUE SHIELD
KYCHIOtherC87012
KY8500005700Medicaid