Sharpe, Jon

Sharpe, Jon is an individual health care provider with primary practice located at 3010 E State Blvd Suite A, Fort Wayne IN 46805-4700. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sharpe, Jon can be contacted via phone (260) 471-0632.

Contact Information

Primary practice address
3010 E State Blvd Suite A Fort Wayne IN 46805-4700
Phone: (260) 471-0632
Fax: (260) 471-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000302A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3400302A Indiana

Profile Details

NPI number 1982644423
LBN Legal business name Sharpe, Jon
Credentials MSW,LCSW,ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1982644423 NPPES
Indiana Other 000000006472 MPLAN
Indiana Other 000000343201 MPLAN
Indiana Other 337341 MPLAN
Indiana Other 11065 MPLAN

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