Sharp, Kevin Mark
Sharp, Kevin Mark is an individual health care provider with primary practice located at 173 Jonestown Rd , Winston-Salem NC 27104-4616. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sharp, Kevin Mark can be contacted via phone (336) 768-7227.Contact Information
Primary practice address
173 Jonestown Rd
Winston-Salem NC 27104-4616
Phone: (336) 768-7227
Fax: (336) 768-3802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1929 | North Carolina |
| Chiropractic Providers / Chiropractor | 111N00000X | 19279 | California |
Profile Details
| NPI number | 1568458057 |
|---|---|
| LBN Legal business name | Sharp, Kevin Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 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 | 1568458057 | NPPES |
| North Carolina | MEDICAID | 790279A |
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