Provider Demographics
NPI:1629494083
Name:WALBRIGHT, SHERI
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:WALBRIGHT
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 1:8144 COUNTY ROAD 54
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43333-9733
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1512 S US HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-9198
Practice Address - Country:US
Practice Address - Phone:973-484-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH224200000XMedicaid