Provider Demographics
NPI:1376267443
Name:BEECH, SARA K
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:K
Last Name:BEECH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 CHAPIN RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-9584
Mailing Address - Country:US
Mailing Address - Phone:440-850-8724
Mailing Address - Fax:
Practice Address - Street 1:5775 CHAPIN RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-9584
Practice Address - Country:US
Practice Address - Phone:440-850-8724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider