Sacris, Maria O.

Sacris, Maria O. is an sole proprietor health care provider with primary practice located at 2000 Roosevelt Rd Ste 207, Valparaiso IN 46383-2802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sacris, Maria O. can be contacted via phone (219) 462-4042.

Contact Information

Primary practice address
2000 Roosevelt Rd Ste 207 Valparaiso IN 46383-2802
Phone: (219) 462-4042
Fax: (219) 462-1444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X IN01025728 Indiana

Profile Details

NPI number 1083618078
LBN Legal business name Sacris, Maria O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Oct 23rd, 2007 - about 17 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 1083618078 NPPES
Illinois Other 90000239 BLUE CROSS OF ILL
Illinois MEDICAID 100076930A BLUE CROSS OF ILL
Illinois Other 000000109115 BLUE CROSS OF ILL

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