Gergely, Sara J

Gergely, Sara J is an sole proprietor health care provider with primary practice located at 3001 S Creasy Ln Ste 100A , Lafayette IN 47905. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gergely, Sara J can be contacted via phone (765) 420-5800.

Contact Information

Primary practice address
3001 S Creasy Ln Ste 100A Lafayette IN 47905
Phone: (765) 420-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36001261A Indiana

Profile Details

NPI number 1639139769
LBN Legal business name Gergely, Sara J
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Feb 25th, 2019 - 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 1639139769 NPPES
Indiana Other 000000197905 ANTHEM PROVIDER NUMBER

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