Provider Demographics
NPI:1982929337
Name:SARA YOUNG, PLLC
Entity Type:Organization
Organization Name:SARA YOUNG, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-850-0588
Mailing Address - Street 1:510 W SAVIDGE ST STE E
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-3108
Mailing Address - Country:US
Mailing Address - Phone:616-850-0588
Mailing Address - Fax:616-850-0590
Practice Address - Street 1:510 W SAVIDGE ST STE E
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-3108
Practice Address - Country:US
Practice Address - Phone:616-850-0588
Practice Address - Fax:616-850-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISY009503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty