Sawicki, Stephan Robert

Sawicki, Stephan Robert is an individual health care provider with primary practice located at 1808 W Royale Dr , Muncie IN 47304-2243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Sawicki, Stephan Robert can be contacted via phone (765) 288-8188.

Contact Information

Primary practice address
1808 W Royale Dr Muncie IN 47304-2243
Phone: (765) 288-8188
Fax: (765) 282-7242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01046824 Indiana

Profile Details

NPI number 1336141399
LBN Legal business name Sawicki, Stephan Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 11th, 2010 - about 14 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 1336141399 NPPES
Indiana Other 000000084069 BLUE CROSS/BLUE SHIELD
Indiana Other 070014144 BLUE CROSS/BLUE SHIELD
Indiana MEDICAID 200125820A BLUE CROSS/BLUE SHIELD

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