Individual
MRS. CHERYL A. SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.,CCC-A
Contact information
Practice address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
(574) 237-9200
(574) 237-9383
Mailing address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
(574) 237-9200
(574) 237-9383
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001872A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000294825
ANTHEM
IN
05
—
200423490A
—
IN
05
—
200938540
—
IN
Enumeration date
10/04/2006
Last updated
09/02/2016
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