Sharp, Laurence M.

Sharp, Laurence M. is an individual health care provider with primary practice located at 1813 W Harvard Ave Suite 426, Roseburg OR 97471-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sharp, Laurence M. can be contacted via phone (541) 459-1611.

Contact Information

Primary practice address
1813 W Harvard Ave Suite 426 Roseburg OR 97471-2752
Fax: (541) 459-5741
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO15192 Oregon

Profile Details

NPI number 1780677146
LBN Legal business name Sharp, Laurence M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Oct 10th, 2011 - about 14 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 1780677146 NPPES
Oregon MEDICAID 150144

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