Provider Demographics
NPI:1255467908
Name:WARD, SHARON LOUISE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LOUISE
Last Name:WARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3507
Mailing Address - Country:US
Mailing Address - Phone:860-350-8505
Mailing Address - Fax:860-350-9112
Practice Address - Street 1:37 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3507
Practice Address - Country:US
Practice Address - Phone:860-350-8505
Practice Address - Fax:860-350-9112
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTM-000334Medicare ID - Type UnspecifiedMEDICARE
CT350000230Medicare UPIN