Individual
SHERRY HOCKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-1551
Mailing address
119 WILDWOOD RD, MIDLAND, PA 15059-2201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35069351H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535224
—
OH
01
—
942460636908
CARESOURCE
OH
01
—
P00285347
MEDICARE RR-GA
OH
Enumeration date
05/28/2006
Last updated
12/14/2010
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