Provider Demographics
NPI:1497358402
Name:BRINK, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BRINK
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 1:5759 FAIRMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43056-8221
Mailing Address - Country:US
Mailing Address - Phone:740-973-6900
Mailing Address - Fax:
Practice Address - Street 1:5759 FAIRMOUNT RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43056-8221
Practice Address - Country:US
Practice Address - Phone:740-973-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide