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Contact Information

BERT E. SHARP, D.P.M., P.A.
613 N 4TH ST
LONGVIEW, TX75601-6616
 Phone: 903-757-2300
 Fax: 903-758-0279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BERT E SHARP DPM PA · (Female)

NPI Number 1750504403
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2007
Last updated 02/09/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 1032
  • TX Medicaid 092750101
Hospital affiliation(s) Not Available
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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