Provider Demographics
NPI:1083133128
Name:NEUBAUM, KATHARINE LEE SPARRAZZA (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:LEE SPARRAZZA
Last Name:NEUBAUM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:
Other - Last Name:SPARRAZZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1035 EMMORTON RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5469
Mailing Address - Country:US
Mailing Address - Phone:410-569-5969
Mailing Address - Fax:410-569-4454
Practice Address - Street 1:1035 EMMORTON RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5469
Practice Address - Country:US
Practice Address - Phone:410-569-5969
Practice Address - Fax:410-569-4454
Is Sole Proprietor?:No
Enumeration Date:2017-09-10
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor