| Sharp Medical Practice | |
|
2600 N Detroit St Lagrange IN 46761 | |
| (260) 463-4896 | |
| (260) 463-5242 |
| Full Name | Sharp Medical Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2600 N Detroit St, Lagrange, Indiana |
| Authorized Official Name and Position | Rhonda Lee Sharp (OWNER PHYSICIAN) |
| Authorized Official Contact | 2604634896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharp Medical Practice 2600 N Detroit St Po Box 168 Lagrange IN 46761 Ph: (260) 463-4896 | Sharp Medical Practice 2600 N Detroit St Lagrange IN 46761 Ph: (260) 463-4896 |
| NPI Number | 1982758140 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 02/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982758140 | NPI | - | NPPES |
| 200102520 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1047132 (Indiana) | Primary |
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