Healthcare Provider Details

I. General information

NPI: 1528588332
Provider Name (Legal Business Name): CHERIE ANN MERCER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 W JACKSON ST STE B
WEST UNITY OH
43570-9643
US

IV. Provider business mailing address

8921 COUNTY ROAD 11
DELTA OH
43515-9833
US

V. Phone/Fax

Practice location:
  • Phone: 419-221-2821
  • Fax:
Mailing address:
  • Phone: 419-551-1870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: