Provider Demographics
NPI:1376710863
Name:MORNAR, SARA JEAN (DO)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:JEAN
Last Name:MORNAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5501 W BETHEL AVE STE C
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-8513
Mailing Address - Country:US
Mailing Address - Phone:765-286-3900
Mailing Address - Fax:765-286-3915
Practice Address - Street 1:5501 W BETHEL AVE STE C
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-8513
Practice Address - Country:US
Practice Address - Phone:765-286-3900
Practice Address - Fax:765-286-3915
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.117604207V00000X
WI53044-021207V00000X
TXN9100207V00000X
IN02004618A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283218003Medicaid
TX283218003Medicaid