Provider Demographics
NPI:1013447655
Name:SINSEL, ERICA DAWN (RPH)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:DAWN
Last Name:SINSEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:879 MANOR CIR
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:OH
Mailing Address - Zip Code:43028-9373
Mailing Address - Country:US
Mailing Address - Phone:740-458-2089
Mailing Address - Fax:
Practice Address - Street 1:910 HEBRON RD
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1181
Practice Address - Country:US
Practice Address - Phone:740-522-3693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03324029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist