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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JASON M SHARBAUGH, DO
625 RUSTIC LODGE RD
INDIANA, PA15701-0000
 Phone: 724-463-3720
 Fax: 724-463-6111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON M SHARBAUGH · (Male)

NPI Number 1710195888
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/20/2007
Last updated 01/21/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
MI License # 5101016548
PA License # OS015813
PA Medicaid 1026543380001
PA Medicare PIN 230233
Hospital affiliation(s)
  • INDIANA REGIONAL MEDICAL CENTER - (Acute Care)
    835 HOSPITAL ROAD
    INDIANA, PA 15701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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