Provider Demographics
NPI:1902021488
Name:TEAM SHARP LLC
Entity Type:Organization
Organization Name:TEAM SHARP LLC
Other - Org Name:ADVANTAGE CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-640-4447
Mailing Address - Street 1:1305 VETERANS PKWY
Mailing Address - Street 2:SUITE 900
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-7750
Mailing Address - Country:US
Mailing Address - Phone:812-284-2225
Mailing Address - Fax:812-284-3872
Practice Address - Street 1:1305 VETERANS PKWY
Practice Address - Street 2:SUITE 900
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-7750
Practice Address - Country:US
Practice Address - Phone:812-284-2225
Practice Address - Fax:812-284-3872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002320A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty