Provider Demographics
NPI:1447309588
Name:MCCRAY, SHARON KAY (DC)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:KAY
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35170 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1929
Mailing Address - Country:US
Mailing Address - Phone:727-359-7603
Mailing Address - Fax:
Practice Address - Street 1:35170 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1929
Practice Address - Country:US
Practice Address - Phone:727-359-7603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3630-012111NN1001X
FLCH7848111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1710176722OtherRAILROAD MEDICARE
WI38928700Medicaid
WI350050645OtherRAILROAD MEDICARE NPI
WI000072021Medicare ID - Type UnspecifiedGROUP NUMBER
WI350050645OtherRAILROAD MEDICARE NPI