Provider Demographics
NPI:1629817721
Name:KORBECK, SARAH (CLD)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:KORBECK
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIVERSITY
Mailing Address - State:PA
Mailing Address - Zip Code:19352-8939
Mailing Address - Country:US
Mailing Address - Phone:410-441-1545
Mailing Address - Fax:
Practice Address - Street 1:123 RED OAK DR
Practice Address - Street 2:
Practice Address - City:LINCOLN UNIVERSITY
Practice Address - State:PA
Practice Address - Zip Code:19352-8939
Practice Address - Country:US
Practice Address - Phone:410-441-1545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
MD20980225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist