Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC011198 | PA |
NPI | 1003367632 |
---|---|
Provider Name | Kathleen Sharick |
First Address | Murrysville, PA 15632-1809 |
Second Address | Murrysville, PA 15632-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2016 |
Last Update Date | 19/10/2016 |