Provider Demographics
NPI:1700168127
Name:DONGARRA, SHARON LEIGH-CLEARY (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LEIGH-CLEARY
Last Name:DONGARRA
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 1:6080 FALLS RD 200A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2400
Mailing Address - Country:US
Mailing Address - Phone:443-991-4703
Mailing Address - Fax:
Practice Address - Street 1:6080 FALLS RD 200A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2400
Practice Address - Country:US
Practice Address - Phone:443-991-4703
Practice Address - Fax:443-558-3308
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03657111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor