Provider Demographics
NPI:1518293349
Name:ROTHMAN, SARAH ANNE (ND)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:FISCHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:450 DONDEE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3258
Mailing Address - Country:US
Mailing Address - Phone:650-380-0089
Mailing Address - Fax:
Practice Address - Street 1:2395 S KIHEI RD STE 204
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8635
Practice Address - Country:US
Practice Address - Phone:808-818-8038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15157171100000X
CAND 383175F00000X
HI326175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist