1134544430 NPI number — MS. SARAH ANNE CHESTER HANSELL D.C.

Table of content: MS. SARAH ANNE CHESTER HANSELL D.C. (NPI 1134544430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134544430 NPI number — MS. SARAH ANNE CHESTER HANSELL D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANSELL
Provider First Name:
SARAH
Provider Middle Name:
ANNE CHESTER
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134544430
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
480 HIBISCUS ST
Provider Second Line Business Mailing Address:
APT 718
Provider Business Mailing Address City Name:
WEST PALM BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33401-5866
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-657-5062
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
291 S COLLIER BLVD UNIT 109
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARCO ISLAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34145-4830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-394-7221
Provider Business Practice Location Address Fax Number:
239-294-0528
Provider Enumeration Date:
02/23/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH11122 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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