Individual
SARA LYNN SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-1720
(765) 741-2961
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01075592A
IN
207Q00000X
Family Medicine Physician
Primary
01075592A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201239280
—
IN
Enumeration date
06/06/2014
Last updated
07/15/2020
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