Sharp, Jace Evan
Sharp, Jace Evan is an individual health care provider with primary practice located at 1200 W Cherokee St , Wagoner OK 74467-4624. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sharp, Jace Evan can be contacted via phone (918) 485-1212.Contact Information
Primary practice address
1200 W Cherokee St
Wagoner OK 74467-4624
Phone: (918) 485-1212
Fax: (918) 485-1335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4722 | Oklahoma |
Profile Details
| NPI number | 1245662550 |
|---|---|
| LBN Legal business name | Sharp, Jace Evan |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2013 |
| Last updated | Jan 4th, 2016 - about 9 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 | 1245662550 | NPPES |
| Oklahoma | MEDICAID | 200513580A |
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