Provider Demographics
NPI:1114942141
Name:TRIPPS, SARA ELISABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ELISABETH
Last Name:TRIPPS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ELISABETH
Other - Last Name:INGRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:539 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:IN
Mailing Address - Zip Code:47882-1624
Mailing Address - Country:US
Mailing Address - Phone:812-699-9791
Mailing Address - Fax:
Practice Address - Street 1:18 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:IN
Practice Address - Zip Code:47882-1524
Practice Address - Country:US
Practice Address - Phone:812-699-9791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002541A111N00000X
SC3125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor