Individual
DR. JEFFREY NEAL SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9880 ANGIES WAY, SUITE 420, LOUISVILLE, KY 40241
(502) 899-6405
(502) 899-6407
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048706
ANTHEM BLUE CROSS
KY
01
—
000000853600
ANTHEM-NNS
KY
01
—
130993
SIHO-NNS
KY
05
—
201015970
—
IN
01
—
50069519
PASSPORT-NNS
KY
05
—
64240757
—
KY
01
—
P01294746
MEDICARE RR-NNS
KY
Enumeration date
06/17/2005
Last updated
01/21/2021
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