Provider Demographics
NPI:1508841206
Name:NEIL, SARA LYNNAE (DC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:LYNNAE
Last Name:NEIL
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 1:3300 SW 9TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50315-7676
Mailing Address - Country:US
Mailing Address - Phone:515-244-1823
Mailing Address - Fax:515-144-4887
Practice Address - Street 1:3300 SW 9TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-7676
Practice Address - Country:US
Practice Address - Phone:515-244-1823
Practice Address - Fax:515-144-4887
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAO5847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA19819OtherBCBS, UNITED, PRINCIPAL
IA0129692Medicaid
IA15017Medicare ID - Type Unspecified
IA0129692Medicaid