Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4912 | KY |
N | 111NN0400X | Neurology | 4912 | KY |
NPI | 1558323907 |
---|---|
Provider Name | Dr. Sheldon Thomas Sharpe |
First Address | Richmond, KY 40475-9681 |
Second Address | Richmond, KY 40475-9681 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 25/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
85003671 | (05) | KY |
V04693 | (02) | KY |