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General NPI Number Information
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NPI Number | 1962651844
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Entity Type | Individual
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Provider Name | SHARIE S. CONARD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 2540 PAULMAR AVE
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9212
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Country | US
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Telephone | 269-428-3400
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Fax | 269-428-4828
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Provider Business Mailing Address
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Address Line | 2540 PAULMAR AVE
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9212
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Country | US
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Telephone | 269-428-3400
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Fax | 269-428-4828
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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