Provider Demographics
NPI:1720227127
Name:RAGAN, SARAH M (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:M
Last Name:RAGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 N ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IN
Mailing Address - Zip Code:46701-1027
Mailing Address - Country:US
Mailing Address - Phone:630-815-2979
Mailing Address - Fax:
Practice Address - Street 1:118 N ORANGE ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:IN
Practice Address - Zip Code:46701-1027
Practice Address - Country:US
Practice Address - Phone:260-636-7959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002425A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN262860AOtherMEDICARE PTAN