Healthcare Provider Details

I. General information

NPI: 1407497274
Provider Name (Legal Business Name): ALEXANDER SARPA DC, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 ADAMS ST STE D
CARMEL IN
46032-7594
US

IV. Provider business mailing address

718 ADAMS ST STE D
CARMEL IN
46032-7594
US

V. Phone/Fax

Practice location:
  • Phone: 317-817-9900
  • Fax: 317-817-9903
Mailing address:
  • Phone: 131-781-7990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08003118A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: