Provider Demographics
NPI:1639502941
Name:GENEST, SACHA R
Entity Type:Individual
Prefix:
First Name:SACHA
Middle Name:R
Last Name:GENEST
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 1:97 LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:ME
Mailing Address - Zip Code:04330-1916
Mailing Address - Country:US
Mailing Address - Phone:207-649-8418
Mailing Address - Fax:
Practice Address - Street 1:97 LEWIS RD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:ME
Practice Address - Zip Code:04330-1916
Practice Address - Country:US
Practice Address - Phone:207-649-8418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-10
Last Update Date:2013-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife