Clevenger, Sharon Freeman

Clevenger, Sharon Freeman is an individual health care provider with primary practice located at 423 Airport North Office Park , Fort Wayne IN 46825-6704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clevenger, Sharon Freeman can be contacted via phone (260) 969-5583.

Contact Information

Primary practice address
423 Airport North Office Park Fort Wayne IN 46825-6704
Phone: (260) 969-5583
Fax: (260) 969-5584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 70000153A Indiana

Profile Details

NPI number 1174527899
LBN Legal business name Clevenger, Sharon Freeman
Credentials MA, MSN, PMHCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Nov 26th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174527899 NPPES
Indiana Other 1612 PHP

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