Ungar-Sargon, Julian Y

Ungar-Sargon, Julian Y is an sole proprietor health care provider with primary practice located at 123 S Mckinley Ave , Rensselaer IN 47978-2949. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ungar-Sargon, Julian Y can be contacted via phone (219) 866-7222.

Contact Information

Primary practice address
123 S Mckinley Ave Rensselaer IN 47978-2949
Phone: (219) 866-7222
Fax: (219) 866-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01040129A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 336-077840 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01040129A Indiana

Profile Details

NPI number 1376642900
LBN Legal business name Ungar-Sargon, Julian Y
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated May 31st, 2018 - about 7 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 1376642900 NPPES
Indiana MEDICAID 200210770A
Indiana Other 4513297
Indiana Other 000000517639
Indiana Other 213230A

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