Healthcare Provider Details

I. General information

NPI: 1922685072
Provider Name (Legal Business Name): SARAH ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W LONGEST ST
PAOLI IN
47454-8821
US

IV. Provider business mailing address

364 E US HIGHWAY 150
HARDINSBURG IN
47125-8558
US

V. Phone/Fax

Practice location:
  • Phone: 812-723-3944
  • Fax: 812-723-7989
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01098714A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: