Provider Demographics
NPI:1073329298
Name:SHARBER, SIMON CHRISTOPHER
Entity type:Individual
Prefix:
First Name:SIMON
Middle Name:CHRISTOPHER
Last Name:SHARBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5637 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-2735
Mailing Address - Country:US
Mailing Address - Phone:913-752-7396
Mailing Address - Fax:
Practice Address - Street 1:5637 LOCUST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-2735
Practice Address - Country:US
Practice Address - Phone:913-752-7396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist