Provider Demographics
NPI:1740300268
Name:WOOD, SARAH STENDIG (LAC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:STENDIG
Last Name:WOOD
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BOSTWICK RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-7209
Mailing Address - Country:US
Mailing Address - Phone:207-729-7906
Mailing Address - Fax:
Practice Address - Street 1:228 WATER ST
Practice Address - Street 2:
Practice Address - City:HALLOWELL
Practice Address - State:ME
Practice Address - Zip Code:04347-1335
Practice Address - Country:US
Practice Address - Phone:207-621-0985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC106171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME024237Medicare UPIN