Sharp, Jason C

Sharp, Jason C is an individual health care provider with primary practice located at 8004 Myrtle Trace Dr Ste 200 , Conway SC 29526-8945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Sharp, Jason C can be contacted via phone (843) 347-8041.

Contact Information

Primary practice address
8004 Myrtle Trace Dr Ste 200 Conway SC 29526-8945
Fax: (843) 347-8042
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 87815 South Carolina

Profile Details

NPI number 1043676414
LBN Legal business name Sharp, Jason C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2016
Last updated Dec 5th, 2022 - about 2 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 1043676414 NPPES
South Carolina MEDICAID 878152

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