Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA ELLEN ROTH SHARP, DC
Deactivated Sole ProprietorDR. LISA ELLEN ROTH SHARP, DC is a Chiropractor healthcare provider located in ROSENDALE, Wisconsin. NPI 1215015375 is deactivated in the NPPES registry. Verify at CMS.
Chiropractor · ROSENDALE, WI
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1215015375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2006 (0.7041095890411 yrs)
- Last Updated
- May 10, 2012
- Deactivated
- Jul 17, 2007
- Licenses
-
2604 (WI)2604012 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 LAFAYETTE STROSENDALE, WI, 549749661Browse WI providers · Browse ZIP 54974
- Phone
- 9208722969
- Primary Specialty
-
Chiropractor
111N00000X
- Additional Specialty
- Chiropractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.