Provider Demographics
NPI:1275659534
Name:SHARON L. PLETCHER, P.C., INC
Entity Type:Organization
Organization Name:SHARON L. PLETCHER, P.C., INC
Other - Org Name:FAMILY FOOT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:PLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:814-235-5565
Mailing Address - Street 1:1318 W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-2711
Mailing Address - Country:US
Mailing Address - Phone:814-235-5565
Mailing Address - Fax:814-235-1922
Practice Address - Street 1:1318 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-2711
Practice Address - Country:US
Practice Address - Phone:814-235-5565
Practice Address - Fax:814-235-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004250L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA215567Medicare PIN
PAU68420Medicare UPIN
PA5442200001Medicare NSC