Basic Information
Provider Information
NPI: 1912495128
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONCALE
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 W 27TH ST
Address2:  
City: LUMBERTON
State: NC
PostalCode: 283583075
CountryCode: US
TelephoneNumber: 9107358781
FaxNumber: 9107392332
Practice Location
Address1: 8166 MAIN ST
Address2:  
City: HOUMA
State: LA
PostalCode: 703603404
CountryCode: US
TelephoneNumber: 9858733689
FaxNumber: 9858733109
Other Information
ProviderEnumerationDate: 04/24/2018
LastUpdateDate: 08/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X328444LAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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