Sprunger, Derek T
Sprunger, Derek T is an individual health care provider with primary practice located at 201 Pennsylvania Pkwy Ste 100 , Carmel IN 46280-1393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sprunger, Derek T can be contacted via phone (317) 817-1333.Contact Information
Primary practice address
201 Pennsylvania Pkwy Ste 100
Carmel IN 46280-1393
Phone: (317) 817-1333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01035269 | Indiana |
Profile Details
| NPI number | 1184625311 |
|---|---|
| LBN Legal business name | Sprunger, Derek T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184625311 | NPPES |
| Indiana | Other | 180016782 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100132290 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100132290C | RAILROAD MEDICARE |
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