Provider Demographics
NPI:1265583280
Name:ABEL, SARAH MARCENE (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARCENE
Last Name:ABEL
Suffix:
Gender:F
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378-1645
Mailing Address - Country:US
Mailing Address - Phone:320-352-1201
Mailing Address - Fax:320-352-3970
Practice Address - Street 1:710 MAIN ST S
Practice Address - Street 2:
Practice Address - City:SAUK CENTRE
Practice Address - State:MN
Practice Address - Zip Code:56378-1645
Practice Address - Country:US
Practice Address - Phone:320-352-1201
Practice Address - Fax:320-352-3970
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1004171100000X
MN2868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN695828100Medicaid
MN695828100Medicaid