Provider Demographics
NPI:1043024474
Name:SHARPE, MICHAEL LEE
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LEE
Last Name:SHARPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SHORES DR
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3400
Mailing Address - Country:US
Mailing Address - Phone:330-502-2679
Mailing Address - Fax:
Practice Address - Street 1:10 SHORES DR
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3400
Practice Address - Country:US
Practice Address - Phone:330-501-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications