Provider Demographics
NPI:1407497274
Name:SARPA, ALEXANDER (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:SARPA
Suffix:
Gender:M
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 ADAMS ST STE D
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7594
Mailing Address - Country:US
Mailing Address - Phone:131-781-7990
Mailing Address - Fax:
Practice Address - Street 1:718 ADAMS ST STE D
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7594
Practice Address - Country:US
Practice Address - Phone:317-817-9900
Practice Address - Fax:317-817-9903
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003118A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty