Provider Demographics
NPI:1811080427
Name:BITTELL, SARAH ANN (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN
Last Name:BITTELL
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 1:5810 EXCELSIOR BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-927-8686
Mailing Address - Fax:952-927-8687
Practice Address - Street 1:5810 EXCELSIOR BOULEVARD
Practice Address - Street 2:
Practice Address - City:ST. LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:952-927-8686
Practice Address - Fax:952-927-8687
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0824OtherHEALTH SERVICES MANAGEMEN
MN623155OtherCHIROCARE
MN51G16BIOtherBLUE CROSS BLUE SHEILD
MN4400223OtherMEDICA
MN51G16BIOtherBLUE CROSS BLUE SHEILD