Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC003419L | PA |
NPI | 1417011719 |
---|---|
Provider Name | Dr. Deborah J. Sharlin |
First Address | Warminster, PA 18974-5206 |
Second Address | Warminster, PA 18974-5206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 15/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1393969 | (05) | PA |
U18267 | (02) | PA |