Provider Demographics
NPI:1447984455
Name:JUNKERMAN, SHERYL L
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:JUNKERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5037 HARVESTDALE DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-3674
Mailing Address - Country:US
Mailing Address - Phone:513-226-0785
Mailing Address - Fax:
Practice Address - Street 1:5037 HARVESTDALE DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-3674
Practice Address - Country:US
Practice Address - Phone:513-226-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver