Individual
SHARON JEAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1530 NEEDMORE RD, STE 300, DAYTON, OH 45414
(937) 277-4274
(937) 277-8476
Mailing address
1530 NEEDMORE RD, STE 300, DAYTON, OH 45414
(937) 277-4274
(937) 277-8476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50000376
OH
363AM0700X
Medical Physician Assistant
Primary
50.000376RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067771
—
OH
Enumeration date
10/27/2006
Last updated
01/28/2021
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