Provider Demographics
NPI:1083925044
Name:MCCARTER, SHARON S
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:S
Last Name:MCCARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 RIDGE CT
Mailing Address - Street 2:STE 238
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4079
Mailing Address - Country:US
Mailing Address - Phone:785-760-2176
Mailing Address - Fax:785-749-0103
Practice Address - Street 1:2518 RIDGE CT
Practice Address - Street 2:STE 238
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4079
Practice Address - Country:US
Practice Address - Phone:785-760-2176
Practice Address - Fax:785-749-0103
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator