Sharp, Jack Kevin

Sharp, Jack Kevin is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Sharp, Jack Kevin can be contacted via phone (910) 662-8888.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Phone: (910) 662-8888
Fax: (910) 662-8909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 216985-1 New York
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 216985 New York
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 2012-01911 North Carolina

Profile Details

NPI number 1104880079
LBN Legal business name Sharp, Jack Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 12th, 2023 - about 3 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 1104880079 NPPES
Other 00021037301 UNIVERA
MEDICAID 001819708001 UNIVERA
Other 000525957001 UNIVERA
Other 4410946 UNIVERA
Other 040426001868 UNIVERA
MEDICAID 02062031 UNIVERA

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