Provider Demographics
NPI:1518017847
Name:OHLMS, SHARON LUCILLE (RPT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LUCILLE
Last Name:OHLMS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N HIGHWAY 79
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MO
Mailing Address - Zip Code:63347-2500
Mailing Address - Country:US
Mailing Address - Phone:636-662-2978
Mailing Address - Fax:
Practice Address - Street 1:701 W ELM ST
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:MO
Practice Address - Zip Code:63389-1102
Practice Address - Country:US
Practice Address - Phone:636-668-8195
Practice Address - Fax:636-668-6259
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR1246171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor