Pack, Sharon

Pack, Sharon is an sole proprietor health care provider with primary practice located at 111 Fayette Ave , Fayetteville WV 25840-1219. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pack, Sharon can be contacted via phone (304) 574-1176.

Contact Information

Primary practice address
111 Fayette Ave Fayetteville WV 25840-1219
Phone: (304) 574-1176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1560 West Virginia

Profile Details

NPI number 1932388857
LBN Legal business name Pack, Sharon
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2007
Last updated Oct 26th, 2007 - about 19 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 1932388857 NPPES
West Virginia MEDICAID 0157630-000

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