Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1427057199 |
---|---|
Provider Name | Mrs. Sharon J. Wardrop |
First Address | Hollidaysburg, PA 16648-1003 |
Second Address | Hollidaysburg, PA 16648-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01829160 | (05) | PA |
1537724 | UNITED MINE WORKERS ASSOC (01) | PA |
297343 | BC/BS SUPPLIER # (01) | PA |
310357 | UMPC PROVIDER # (01) | PA |