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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184625311 NPPES
Indiana Other 180016782 RAILROAD MEDICARE
Indiana MEDICAID 100132290 RAILROAD MEDICARE
Indiana MEDICAID 100132290C RAILROAD MEDICARE

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