Sharp, Clinton Harry

Sharp, Clinton Harry is an sole proprietor health care provider with primary practice located at 1051 Gause Blvd Suite 380, Slidell LA 70458-2951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sharp, Clinton Harry can be contacted via phone (985) 641-8191.

Contact Information

Primary practice address
1051 Gause Blvd Suite 380 Slidell LA 70458-2951
Phone: (985) 641-8191
Fax: (985) 641-9812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16693 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11192 Mississippi

Profile Details

NPI number 1508855198
LBN Legal business name Sharp, Clinton Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508855198 NPPES
Mississippi MEDICAID 08205520
Mississippi MEDICAID 1386405

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