Antalis, Sarah

Antalis, Sarah is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , W Lafayette IN 47906-1501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Antalis, Sarah can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W W Lafayette IN 47906-1501
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01069600A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01069600A Indiana

Profile Details

NPI number 1407883960
LBN Legal business name Antalis, Sarah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 18th, 2020 - about 4 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 1407883960 NPPES
Indiana Other 000001016017 ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653
Indiana MEDICAID 201028020 ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653
Indiana MEDICAID 588907-11 ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653
Indiana Other 000000719631 ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653
Indiana Other 00A0261717 ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653

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