Provider Demographics
NPI:1003909292
Name:SHARP MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:SHARP MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-524-3256
Mailing Address - Street 1:126 SW 3RD STREET
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2327
Mailing Address - Country:US
Mailing Address - Phone:816-524-3256
Mailing Address - Fax:816-524-3261
Practice Address - Street 1:126 SW 3RD STREET
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2327
Practice Address - Country:US
Practice Address - Phone:816-524-3256
Practice Address - Fax:816-524-3261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO16901266332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
25660029OtherBLUE CROSS BLUE SHIELD
1207990001Medicare ID - Type Unspecified