Provider Demographics
NPI:1780208900
Name:SHARP, SARAH JANE (MS, RDN)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:JANE
Last Name:SHARP
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 KETCH ST
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8806
Mailing Address - Country:US
Mailing Address - Phone:740-602-1802
Mailing Address - Fax:
Practice Address - Street 1:5915 KETCH ST
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-8806
Practice Address - Country:US
Practice Address - Phone:740-602-1802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered