Healthcare Provider Details
I. General information
NPI: 1306224621
Provider Name (Legal Business Name): SARAH CONTOS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/07/2015
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5500 ARMSTRONG RD
BATTLE CREEK MI
49037-7314
US
IV. Provider business mailing address
5500 ARMSTRONG RD
BATTLE CREEK MI
49037-7314
US
V. Phone/Fax
- Phone: 269-966-5600
- Fax:
- Phone: 269-966-5600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 5101027492 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | 3642 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: