Provider Demographics
NPI:1598046716
Name:SARAH DANNENBERGER
Entity Type:Organization
Organization Name:SARAH DANNENBERGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE TESTED NURSING ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DANNENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-536-3640
Mailing Address - Street 1:4175 N US HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:FOSTORIA
Mailing Address - State:OH
Mailing Address - Zip Code:44830-1998
Mailing Address - Country:US
Mailing Address - Phone:419-536-3640
Mailing Address - Fax:
Practice Address - Street 1:4175 N US HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830
Practice Address - Country:US
Practice Address - Phone:419-536-3640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251J00000X251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care