Dr Lisa Ellen Roth Sharp, DC is a
Chiropractor based in Rosendale, Wisconsin. Dr Lisa Ellen Roth Sharp is licensed to practice in Wisconsin (license number 2604) and her current practice location is
100 Lafayette St, Rosendale, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 872-2969.
NPI number for Dr Lisa Ellen Roth Sharp is 1215015375 and her current mailing address is Po Box 51, 100 Lafayette Street, Rosendale, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215015375.
Healthcare Provider's Profile
| Full Name | Dr Lisa Ellen Roth Sharp |
|---|
| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 100 Lafayette St, Rosendale, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215015375
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 05/10/2012
Medical Identifiers
Medical identifiers for Dr Lisa Ellen Roth Sharp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215015375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2604 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 2604012 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Ellen Roth Sharp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lisa Ellen Roth Sharp, DC
Po Box 51, 100 Lafayette Street,
Rosendale, WI 54974-0051
Ph: (920) 872-2969 | Dr Lisa Ellen Roth Sharp, DC
100 Lafayette St,
Rosendale, WI 54974-9661
Ph: (920) 872-2969 |
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