Sargent, Troy Alan
Sargent, Troy Alan is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sargent, Troy Alan can be contacted via phone (260) 373-4433.Contact Information
Primary practice address
2200 Randallia Dr
Fort Wayne IN 46805-4638
Phone: (260) 373-4433
Fax: (260) 737-6704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301052791 | Michigan |
Profile Details
| NPI number | 1679560395 |
|---|---|
| LBN Legal business name | Sargent, Troy Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Dec 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679560395 | NPPES |
| Other | 10785765 | CAQH PROVIDER ID | |
| Other | 381303843 | CAQH PROVIDER ID | |
| MEDICAID | 4879960 | CAQH PROVIDER ID |
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