Provider Demographics
NPI:1528713922
Name:DOJCSANY, SHERIS KATHLEEN
Entity type:Individual
Prefix:MS
First Name:SHERIS
Middle Name:KATHLEEN
Last Name:DOJCSANY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SHERIS
Other - Middle Name:KATHLEEN
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38 STOCKADE ROAD
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337
Mailing Address - Country:US
Mailing Address - Phone:308-432-3883
Mailing Address - Fax:
Practice Address - Street 1:38 STOCKADE ROAD
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337
Practice Address - Country:US
Practice Address - Phone:308-432-3883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No372500000XNursing Service Related ProvidersChore Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE37951658OtherHBC CHOREGIVER FOR DHHS