Provider Demographics
NPI:1700941465
Name:DAMM, SARAH F (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:F
Last Name:DAMM
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 1:5845 BIRDSEYE RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7926
Mailing Address - Country:US
Mailing Address - Phone:510-329-9466
Mailing Address - Fax:
Practice Address - Street 1:25480 BELHAVEN ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2528
Practice Address - Country:US
Practice Address - Phone:510-329-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-26619111N00000X
MTMT-926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor