| Doctor Name: | MARGARET JANE SORG |
| NPI Number: | 1306195821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 71004109B |
| Business Practice Address: | 1901 Lafayette Rd Suite 200 Crawfordsville, IN - 479331098 |
| Business Phone Number: | 7653613086 |
| Business Fax Number: | |
| Mailing Address: | 1901 Lafayette Rd, Suite 200 CRAWFORDSVILLE |
| State: | IN |
| Postal Code: | 479331098 |
| Phone Number: | 7653613086 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2012 |
| NPI Last Update Date: | 03/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 71004109B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |