Provider Demographics
NPI:1639201726
Name:ERICKSEN, SHERRI ANNE (DC)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANNE
Last Name:ERICKSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:ANNE
Other - Last Name:CAMBRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:365 STORRS RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250-1200
Mailing Address - Country:US
Mailing Address - Phone:860-456-3225
Mailing Address - Fax:860-456-7901
Practice Address - Street 1:365 STORRS RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD CENTER
Practice Address - State:CT
Practice Address - Zip Code:06250-1200
Practice Address - Country:US
Practice Address - Phone:860-456-3225
Practice Address - Fax:860-456-7901
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01843111N00000X
CT2084111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
3889818OtherAETNA
MD61140837OtherBCBS
MD61140837OtherBCBS