Individual
DR. JASON MICHAEL SHARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
879 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-8198
(724) 357-8202
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7196
(724) 357-7279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS015813
PA
208600000X
Surgery Physician
5101016548
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026543380001
—
PA
Enumeration date
05/20/2007
Last updated
05/05/2021
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