Healthcare Provider Details

I. General information

NPI: 1770585861
Provider Name (Legal Business Name): SHARON ANN HARIG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON ANN SCULLY MD

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8895 BROADWAY
MERRILLVILLE IN
46410-7037
US

IV. Provider business mailing address

PO BOX 1293
BEDFORD PARK IL
60499-1293
US

V. Phone/Fax

Practice location:
  • Phone: 219-738-2081
  • Fax: 219-650-4311
Mailing address:
  • Phone: 260-969-1950
  • Fax: 260-918-2137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number01035172A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: