Provider Demographics
NPI:1508829755
Name:CONFER, SARAH JANE (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JANE
Last Name:CONFER
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 1:9900 N 100 W-90
Mailing Address - Street 2:
Mailing Address - City:MARKLE
Mailing Address - State:IN
Mailing Address - Zip Code:46770-9756
Mailing Address - Country:US
Mailing Address - Phone:260-638-4479
Mailing Address - Fax:260-638-4615
Practice Address - Street 1:9900 N 100 W-90
Practice Address - Street 2:
Practice Address - City:MARKLE
Practice Address - State:IN
Practice Address - Zip Code:46770-9756
Practice Address - Country:US
Practice Address - Phone:260-638-4479
Practice Address - Fax:260-638-4615
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T95961Medicare UPIN
912440Medicare ID - Type Unspecified