Sharp, John Lee
Sharp, John Lee is an individual health care provider with primary practice located at 1683 W Harvard Ave , Roseburg OR 97470-2812. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sharp, John Lee can be contacted via phone (541) 673-3552.Contact Information
Primary practice address
1683 W Harvard Ave
Roseburg OR 97470-2812
Phone: (541) 673-3552
Fax: (541) 673-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D6198 | Oregon |
Profile Details
| NPI number | 1841283470 |
|---|---|
| LBN Legal business name | Sharp, John Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841283470 | NPPES |
| Oregon | MEDICAID | 113654 |
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