Provider Demographics
NPI:1043537004
Name:CERRE, ERIC KARL (NMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:KARL
Last Name:CERRE
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4354
Mailing Address - Country:US
Mailing Address - Phone:480-821-8686
Mailing Address - Fax:480-821-8686
Practice Address - Street 1:312 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 18
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4354
Practice Address - Country:US
Practice Address - Phone:480-821-8686
Practice Address - Fax:480-821-8686
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1159175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath