Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD033892E | PA |
NPI | 1003860057 |
---|---|
Provider Name | John William Sharp JR. |
First Address | Lancaster, PA 17601-4340 |
Second Address | Lancaster, PA 17601-4340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 07/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C34819 | (02) |