MEDICARE: SHARON WARDROP

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	332B00000X	Durable Medical Equipment & Medical Supplies	6000005658	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	310357	OTHER	PA	UPMC
2	000000164360	OTHER	PA	MED PLUS/3 RIVERS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1537724	OTHER	PA	UMWA
5	297343	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1447432406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON WARDROP

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	:	OWNER
Name	:	MRS. SHARON J. WARDROP
Credential	:	C.M.F.
Telephone Number	:	814-693-9200

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	12/06/2007

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Directions to “SHARON WARDROP ” Practice Location

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