Provider Demographics
NPI:1730253659
Name:SHARP, GINGER L (DC)
Entity type:Individual
Prefix:DR
First Name:GINGER
Middle Name:L
Last Name:SHARP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:GINGER
Other - Middle Name:L
Other - Last Name:LAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:810 E HIGHWAY M
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63383-2215
Mailing Address - Country:US
Mailing Address - Phone:636-456-2966
Mailing Address - Fax:636-456-2977
Practice Address - Street 1:810 E HIGHWAY M
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:MO
Practice Address - Zip Code:63383-2215
Practice Address - Country:US
Practice Address - Phone:636-456-2966
Practice Address - Fax:636-456-2977
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006030811111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor