Basic Information
Provider Information
NPI: 1134318397
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EAKIN
FirstName: SARAH
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5700 SOUTHWYCK BLVD
Address2:  
City: TOLEDO
State: OH
PostalCode: 436141509
CountryCode: US
TelephoneNumber: 8002888328
FaxNumber: 4198665453
Practice Location
Address1: 232 W 25TH ST
Address2:  
City: ERIE
State: PA
PostalCode: 165440002
CountryCode: US
TelephoneNumber: 8144525000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/23/2007
LastUpdateDate: 08/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X141162NCN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZP0102XMD444773PAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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