Provider Demographics
NPI:1336334572
Name:SHARP, DAVID ALLEN
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALLEN
Last Name:SHARP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 ULYSSES CT
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:VA
Mailing Address - Zip Code:22642-5918
Mailing Address - Country:US
Mailing Address - Phone:540-636-8101
Mailing Address - Fax:
Practice Address - Street 1:32 ULYSSES CT
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:VA
Practice Address - Zip Code:22642-5918
Practice Address - Country:US
Practice Address - Phone:540-636-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705 111993332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies