Sally J Sidman in Brazil - Emergency Medicine

Sally J Sidman - NPI 1215952601

Sally J Sidman is a Emergency Medicine in Brazil, Indiana. Sally J Sidman practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Sally J Sidman is 1215952601. The last update date is 2014-03-27.

Sally J Sidman's current location address is 1206 E. National Avenue, Brazil, Indiana. You can contact this provider via phone number 8124422700 and fax number 8124422710. The mailing address for Sally J Sidman is 1206 E. National Avenue, Brazil, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Sally J Sidman
Address 1206 E. National Avenue, Brazil, Indiana
Phone Number 8124422700
Fax Number 8124422710
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1215952601
Provider Enumeration Date 2006-07-13
Last Updated Date 2014-03-27

Provider Mailing Address Detail

Address 1206 E. National Avenue
City Brazil
State Indiana (IN)
Post Code 47834
Phone Number 8124422700
Fax Number 8124422710

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 036-098644
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36098644 IL BLUE SHIELD
100381480 IN --
36098644 IL --
602172 IN BLUE SHIELD

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FAQs about Sally J Sidman

What is the unique identification code assigned to Sally J Sidman by the Centers for Medicare & Medicaid Services?

The Sally J Sidman has been issued the NPI (National Provider Identifier) 1215952601. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Sally J Sidman's physical address?

The Sally J Sidman is physically located at 1206 E. National Avenue, in the city of Brazil, IN, with the postal code 47834.

What is Sally J Sidman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sally J Sidman is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.

On what date did Sally J Sidman receive its 1215952601 assignment from the Centers for Medicare & Medicaid Services?

The Sally J Sidman was assigned its 1215952601 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Sally J Sidman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sally J Sidman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-27.

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