Sharp, Clinton Harry
Sharp, Clinton Harry is an sole proprietor health care provider with primary practice located at 1051 Gause Blvd Suite 380, Slidell LA 70458-2951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sharp, Clinton Harry can be contacted via phone (985) 641-8191.Contact Information
Primary practice address
1051 Gause Blvd Suite 380
Slidell LA 70458-2951
Phone: (985) 641-8191
Fax: (985) 641-9812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16693 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11192 | Mississippi |
Profile Details
| NPI number | 1508855198 |
|---|---|
| LBN Legal business name | Sharp, Clinton Harry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508855198 | NPPES |
| Mississippi | MEDICAID | 08205520 | |
| Mississippi | MEDICAID | 1386405 |
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