Provider Demographics
NPI:1912372772
Name:PRAHL, SHARON WILLIAMS (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:WILLIAMS
Last Name:PRAHL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7600 PARKLAWN AVE STE 349
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5193
Mailing Address - Country:US
Mailing Address - Phone:952-825-5523
Mailing Address - Fax:
Practice Address - Street 1:7600 PARKLAWN AVE STE 349
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5193
Practice Address - Country:US
Practice Address - Phone:952-825-5523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor