Provider Demographics
NPI:1356496202
Name:SHARPLESS, JOHN HOWARD (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HOWARD
Last Name:SHARPLESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-5737
Mailing Address - Country:US
Mailing Address - Phone:765-459-4575
Mailing Address - Fax:765-459-9415
Practice Address - Street 1:1810 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-5737
Practice Address - Country:US
Practice Address - Phone:765-459-4575
Practice Address - Fax:765-459-9415
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000617A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN33-1208112OtherFEDERAL TAX ID
INT34698Medicare ID - Type UnspecifiedMEDICARE ID
IN363310Medicare UPIN