Provider Demographics
NPI:1427057199
Name:WARDROP, SHARON J (CMF)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:J
Last Name:WARDROP
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 ZEE PLZ
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-1003
Mailing Address - Country:US
Mailing Address - Phone:814-693-9200
Mailing Address - Fax:814-693-9281
Practice Address - Street 1:102 ZEE PLZ
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-1003
Practice Address - Country:US
Practice Address - Phone:814-693-9200
Practice Address - Fax:814-693-9281
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1537724OtherUNITED MINE WORKERS ASSOC
PA310357OtherUMPC PROVIDER #
PA297343OtherBC/BS SUPPLIER #
PA01829160Medicaid
PA297343OtherBC/BS SUPPLIER #