Provider Demographics
NPI:1841401106
Name:FITCH, SHARON-ROSE DAVIDSON (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON-ROSE
Middle Name:DAVIDSON
Last Name:FITCH
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 1:5900 100TH ST SW
Mailing Address - Street 2:SUITE #14
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2749
Mailing Address - Country:US
Mailing Address - Phone:253-581-8456
Mailing Address - Fax:253-581-8464
Practice Address - Street 1:5900 100TH ST SW
Practice Address - Street 2:SUITE #14
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2749
Practice Address - Country:US
Practice Address - Phone:253-581-8456
Practice Address - Fax:253-581-8464
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0151216OtherLABOR&INDUSTRIES
WA8932918OtherCRIMES VICTIMS
WA8932918OtherCRIMES VICTIMS