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Contact Information

SARAH E INTRAVAIA, MT
2401 W MAIN ST
MARION, IL62959-1188
 Phone: 618-997-5311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Technologist

246QM0706X
Indicates primary specialty

NPI Profile & details for SARAH E INTRAVAIA · (Female)

NPI Number 1427241504
Status Active
Credentials MT
Entity Individual
Enumeration date 08/22/2007
Last updated 08/22/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 225215
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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