Provider Demographics
NPI:1851144430
Name:SIKE, CHERECHI GODSWILL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERECHI
Middle Name:GODSWILL
Last Name:SIKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FAMILY PRACTICE CENTER(MIFFLINTOWN)
Mailing Address - Street 2:2813 INDUSTRIAL PARK RD
Mailing Address - City:MIFFLINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17059
Mailing Address - Country:US
Mailing Address - Phone:717-436-8283
Mailing Address - Fax:717-436-8351
Practice Address - Street 1:FAMILY PRACTICE CENTER(MIFFLINTOWN)
Practice Address - Street 2:2813 INDUSTRIAL PARK RD
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059
Practice Address - Country:US
Practice Address - Phone:717-436-8283
Practice Address - Fax:717-436-8351
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program