Provider Demographics
NPI:1912243478
Name:KRESIC, CHERI A (CRS)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:A
Last Name:KRESIC
Suffix:
Gender:F
Credentials:CRS
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:KRESIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:324 S MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3219
Mailing Address - Country:US
Mailing Address - Phone:724-837-2320
Mailing Address - Fax:724-836-0602
Practice Address - Street 1:324 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3219
Practice Address - Country:US
Practice Address - Phone:724-837-2320
Practice Address - Fax:724-836-0602
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor