Healthcare Provider Details

I. General information

NPI: 1598394108
Provider Name (Legal Business Name): SARAH E HOYT CAPRC 1
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E HOYT CAPRC 1

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 04/06/2020
Certification Date: 04/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 N MERIDIAN ST STE 110
INDIANAPOLIS IN
46208-4674
US

IV. Provider business mailing address

3351 N MERIDIAN ST STE 110
INDIANAPOLIS IN
46208-4674
US

V. Phone/Fax

Practice location:
  • Phone: 317-964-0450
  • Fax: 317-964-0452
Mailing address:
  • Phone: 317-964-0450
  • Fax: 317-964-0452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: