Provider Demographics
NPI:1104891969
Name:AYERS, SHARON EDITH (DC)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:EDITH
Last Name:AYERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 EVERGREEN PL
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2005
Mailing Address - Country:US
Mailing Address - Phone:973-673-4400
Mailing Address - Fax:973-673-4402
Practice Address - Street 1:137 EVERGREEN PL
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2005
Practice Address - Country:US
Practice Address - Phone:973-673-4400
Practice Address - Fax:973-673-4402
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00479400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0995347000OtherAMERIHEALTH
NJP536848OtherOXFORD
NJP536848OtherOXFORD