NPI Code Details Logo

NPI 1891909602

NPI 1891909602 : SARA HUFFER M.D. : LAFAYETTE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1891909602
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SARA HUFFER M.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/10/2007
-----------------------------------------------------
    Last Update Date     |    02/23/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5165 MCCARTY LN 
-----------------------------------------------------
    City                 |    LAFAYETTE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47905-8764
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    765-448-8000
-----------------------------------------------------
    Fax                  |    765-868-4698
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1200 W WHITE RIVER BLVD 
-----------------------------------------------------
    City                 |    MUNCIE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47303-4988
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-668-5621
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    01066765A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.