Healthcare Provider Details

I. General information

NPI: 1326976481
Provider Name (Legal Business Name): SARAH ROZBORIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W SHIAWASSEE AVE # 100
FENTON MI
48430-2093
US

IV. Provider business mailing address

202 W SHIAWASSEE AVE # 100
FENTON MI
48430-2093
US

V. Phone/Fax

Practice location:
  • Phone: 810-569-5550
  • Fax: 810-569-5550
Mailing address:
  • Phone: 810-629-6023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401708
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: