Provider Demographics
NPI:1962462531
Name:BOSSLET, SARAH S (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:BOSSLET
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7610 DUBONNET WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-1542
Mailing Address - Country:US
Mailing Address - Phone:463-298-2381
Mailing Address - Fax:463-250-0183
Practice Address - Street 1:7174 WALDEMAR DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-2183
Practice Address - Country:US
Practice Address - Phone:463-298-2381
Practice Address - Fax:463-250-0183
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2025-01-06
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Provider Licenses
StateLicense IDTaxonomies
IN014064886A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200898830Medicaid