Provider Demographics
NPI:1275834038
Name:JOINT, SARAH LYNNE (DC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNNE
Last Name:JOINT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-3503
Mailing Address - Country:US
Mailing Address - Phone:814-866-3366
Mailing Address - Fax:814-866-8877
Practice Address - Street 1:3624 W 12TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-3503
Practice Address - Country:US
Practice Address - Phone:814-866-3366
Practice Address - Fax:814-866-8877
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA622710179OtherMEDICARE DCN
PA1025504400002Medicaid