Provider Demographics
NPI:1427373588
Name:PROECHEL, SARAH JAN (CPM)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JAN
Last Name:PROECHEL
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 HARLEMVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12529-5433
Mailing Address - Country:US
Mailing Address - Phone:518-672-4576
Mailing Address - Fax:
Practice Address - Street 1:765 HARLEMVILLE RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NY
Practice Address - Zip Code:12529-5433
Practice Address - Country:US
Practice Address - Phone:518-672-4576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife