Provider Demographics
NPI:1891872990
Name:SARA FURIOLI
Entity Type:Organization
Organization Name:SARA FURIOLI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FURIOLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-527-0002
Mailing Address - Street 1:1014 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-1345
Mailing Address - Country:US
Mailing Address - Phone:304-527-0002
Mailing Address - Fax:304-527-0003
Practice Address - Street 1:1014 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037-1345
Practice Address - Country:US
Practice Address - Phone:304-527-0002
Practice Address - Fax:304-527-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9360291Medicare PIN