Healthcare Provider Details

I. General information

NPI: 1124512520
Provider Name (Legal Business Name): SARAH JEAN VOLKMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4498 1ST AVE
EVANSVILLE IN
47710-3622
US

IV. Provider business mailing address

PO BOX 3407
EVANSVILLE IN
47733-3407
US

V. Phone/Fax

Practice location:
  • Phone: 812-436-7280
  • Fax: 812-436-7290
Mailing address:
  • Phone: 812-436-7280
  • Fax: 812-436-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02005896A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11020133A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number02005896A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: