Provider Demographics
NPI:1811189558
Name:STIFF, SARAH LYNN SZYMKOWIAK (DC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN SZYMKOWIAK
Last Name:STIFF
Suffix:
Gender:
Credentials:DC
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:SZYMKOWIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:PLOVER
Mailing Address - State:WI
Mailing Address - Zip Code:54467-0253
Mailing Address - Country:US
Mailing Address - Phone:715-544-4243
Mailing Address - Fax:
Practice Address - Street 1:1837 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLOVER
Practice Address - State:WI
Practice Address - Zip Code:54467-4304
Practice Address - Country:US
Practice Address - Phone:715-544-4243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32037111N00000X
WI4334-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor