Brown, Sara A

Brown, Sara A is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Brown, Sara A can be contacted via phone (260) 373-4000.

Contact Information

Primary practice address
2200 Randallia Dr Fort Wayne IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01054043 Indiana

Profile Details

NPI number 1962497073
LBN Legal business name Brown, Sara A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Apr 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962497073 NPPES
Other 000000010650 MPLAN
MEDICAID 104874463 MPLAN
MEDICAID 200347870 MPLAN
Other 000000194424 MPLAN
MEDICAID 2516316 MPLAN

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