Brentlinger, Sarah L

Brentlinger, Sarah L is an individual health care provider with primary practice located at 6050 Sterling Creek Rd , Portage IN 46368-7752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brentlinger, Sarah L can be contacted via phone (219) 763-8112.

Contact Information

Primary practice address
6050 Sterling Creek Rd Portage IN 46368-7752
Phone: (219) 763-8112
Fax: (219) 764-5380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004973A Indiana

Profile Details

NPI number 1124434584
LBN Legal business name Brentlinger, Sarah L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Aug 14th, 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 1124434584 NPPES
Indiana MEDICAID 2012434710

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