1891936399 NPI number — MARTIN & SHARKEY PLLC

Table of content: (NPI 1891936399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891936399 NPI number — MARTIN & SHARKEY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARTIN & SHARKEY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SHARKEY & MCENTIRE PLLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891936399
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
342 CATHERINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALLA WALLA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99362-3057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-525-9474
Provider Business Mailing Address Fax Number:
509-525-4723

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
342 CATHERINE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALLA WALLA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99362-3057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-525-9474
Provider Business Practice Location Address Fax Number:
509-525-4723
Provider Enumeration Date:
03/12/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHARKEY
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
PATRICK
Authorized Official Title or Position:
OWNER/DOCTOR
Authorized Official Telephone Number:
509-525-9474

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)