Dr. Derek Williamson Sherk
Family Doctor
3077 Kettering Blvd Suite Number 319
Dayton
, Ohio 45439-1949
Dr. Derek Williamson Sherk
Family Doctor
3077 Kettering Blvd Suite Number 319
Dayton
, Ohio 45439-1949
(937) 554-8305
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Derek Williamson Sherk
- 1508 Hathaway Rd
- Dayton, OH
- Zip : 45419-3244
- Phone : (937) 554-8305
Second Address
- Dr. Derek Williamson Sherk
- 3077 Kettering Blvd Suite Number 319
- Dayton, OH
- Zip : 45439-1949
- Phone : (937) 293-2133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 35076965S | OH |
National Provider Identifier
| NPI | 1003806159 |
|---|---|
| Provider Name | Dr. Derek Williamson Sherk |
| First Address | Dayton, OH 45419-3244 |
| Second Address | Dayton, OH 45439-1949 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2005 |
| Last Update Date | 21/06/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.