Provider Demographics
NPI:1447255039
Name:SHEEP, ROBERT EVANS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EVANS
Last Name:SHEEP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N 7TH ST
Mailing Address - Street 2:STE 206
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1795
Mailing Address - Country:US
Mailing Address - Phone:717-263-1211
Mailing Address - Fax:717-263-7192
Practice Address - Street 1:120 N 7TH ST
Practice Address - Street 2:STE 206
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1795
Practice Address - Country:US
Practice Address - Phone:717-263-1211
Practice Address - Fax:717-263-7192
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031409E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009704430003Medicaid
PA95834Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
PA0009704430003Medicaid