Provider Demographics
NPI:1962639179
Name:CHAPEL, SARAH COLLINS (RD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:COLLINS
Last Name:CHAPEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E MICHIGAN AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1479
Mailing Address - Country:US
Mailing Address - Phone:517-205-4968
Mailing Address - Fax:517-205-5941
Practice Address - Street 1:100 E MICHIGAN AVE STE 900
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201
Practice Address - Country:US
Practice Address - Phone:517-205-4968
Practice Address - Fax:517-205-5941
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI915369133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered