Provider Demographics
NPI:1861560641
Name:SKERRY, DONNA M (RN DC)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:SKERRY
Suffix:
Gender:F
Credentials:RN DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2409
Mailing Address - Country:US
Mailing Address - Phone:215-624-8824
Mailing Address - Fax:215-624-8825
Practice Address - Street 1:6600 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19149-2409
Practice Address - Country:US
Practice Address - Phone:215-624-8824
Practice Address - Fax:215-624-8825
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC00 6770L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0605307OtherAETNA
PA001884144002OtherUNITED
PA0133947000OtherBLUE CROSS
PA1036485OtherAMERICAN SPECIALTY
051691Medicare ID - Type Unspecified