Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01059402A | IN |
NPI | 1013999366 |
---|---|
Provider Name | Dr. Joseph R Sauer |
First Address | Corydon, IN 47112-0038 |
Second Address | Corydon, IN 47112-2172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200482380 | (05) | IN |
339645 | ANTHEM BLUE CROSS AND BLU (01) | IN |
6409146500 | (05) | KY |
G28543 | (02) | IN |