Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 02004523A | IN |
NPI | 1023370723 |
---|---|
Provider Name | Dr. Sarah Catherine Perryman |
First Address | Muncie, IN 47304-5407 |
Second Address | Muncie, IN 47304-5407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2012 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300005468 | (05) | IN |
IN3950009 | MEDICARE (01) | IN |