Provider Demographics
NPI:1720759640
Name:DEMERS, SARA-MAUDE (DC)
Entity Type:Individual
Prefix:
First Name:SARA-MAUDE
Middle Name:
Last Name:DEMERS
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 1:8370 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6104
Mailing Address - Country:US
Mailing Address - Phone:716-632-3435
Mailing Address - Fax:716-632-8491
Practice Address - Street 1:8370 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6104
Practice Address - Country:US
Practice Address - Phone:716-632-3435
Practice Address - Fax:716-632-8491
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013479-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor