MEDICARE: MRS. SHARON J. WARDROP C.M.F.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225000000X	Orthotic Fitter

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1537724	OTHER	PA	UNITED MINE WORKERS ASSOC
2	310357	OTHER	PA	UMPC PROVIDER #
3	297343	OTHER	PA	BC/BS SUPPLIER #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427057199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON J. WARDROP C.M.F.

Provider Business Mailing Address
First Line	:	102 ZEE PLZ
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-1003
Country	:	US
Telephone Number	:	814-693-9200
Fax Number	:	814-693-9281

Provider Business Practice Location Address
First Line	:	102 ZEE PLZ
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-1003
Country	:	US
Telephone Number	:	814-693-9200
Fax Number	:	814-693-9281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	07/09/2007

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