Provider Demographics
NPI:1083683973
Name:SOULE, SHARON E (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:E
Last Name:SOULE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:325 MAINE STREET
Mailing Address - Street 2:MSO LIBRARY
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1335
Mailing Address - Country:US
Mailing Address - Phone:785-505-2988
Mailing Address - Fax:785-505-5228
Practice Address - Street 1:330 ARKANSAS ST STE 215
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1326
Practice Address - Country:US
Practice Address - Phone:785-505-2800
Practice Address - Fax:785-505-5207
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0430104207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
512420OtherFIRST GUARD
KS100450970AMedicaid
7762358OtherAETNA
900004443OtherMEDICARE RAILROAD
102730OtherBC/BS OF KANSAS
3600458OtherUNITED HEALTH CARE
32379019OtherBC/BS KANSAS CITY
3600458OtherUNITED HEALTH CARE
7762358OtherAETNA