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Individual
DR. SHARON L. FITELSON
Active
Individual
DR. SHARON L. FITELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C. DABCO
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
004472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119539
GHP PROVIDER #
MO
01
—
287406
HEALTHLINK PROVIDER #
MO
01
—
628178
UNITED HEALTHCARE PROV #
MO
01
—
6332
BLUE CROSS PROVIDER #
MO
01
—
T43375
MERCY PROVIDER #
MO
Enumeration date
02/27/2007
Last updated
07/09/2007
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