Provider Demographics
NPI:1326086380
Name:TATE, SARAH B (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:TATE
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:PO BOX 1378
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-1378
Mailing Address - Country:US
Mailing Address - Phone:501-362-4004
Mailing Address - Fax:501-362-1881
Practice Address - Street 1:110 N 11TH ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-2731
Practice Address - Country:US
Practice Address - Phone:501-362-4004
Practice Address - Fax:501-362-1881
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5W680Medicare ID - Type Unspecified
ARV04200Medicare UPIN