Sarpa, J R Nicholas

Sarpa, J R Nicholas is an individual health care provider with primary practice located at 2920 S Mcintire Dr Suite 350, Bloomington IN 47403-4221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sarpa, J R Nicholas can be contacted via phone (812) 332-2226.

Contact Information

Primary practice address
2920 S Mcintire Dr Suite 350 Bloomington IN 47403-4221
Phone: (812) 332-2226
Fax: (812) 339-2934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01038321A Indiana

Profile Details

NPI number 1235113663
LBN Legal business name Sarpa, J R Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jun 15th, 2020 - about 6 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 1235113663 NPPES
Indiana MEDICAID 100352470

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