Provider Demographics
NPI:1114121514
Name:JOSEPH W. SHARLOW M.D. PC
Entity Type:Organization
Organization Name:JOSEPH W. SHARLOW M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-883-5717
Mailing Address - Street 1:130 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:STE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670-1828
Mailing Address - Country:US
Mailing Address - Phone:573-883-5717
Mailing Address - Fax:573-883-3684
Practice Address - Street 1:212 HOSPITAL LN
Practice Address - Street 2:SUITE 202
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-1276
Practice Address - Country:US
Practice Address - Phone:573-547-8390
Practice Address - Fax:573-547-6238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMOR3M50208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty