Healthcare Provider Details

I. General information

NPI: 1447481601
Provider Name (Legal Business Name): SARA JANE CURELL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N SAINT PAUL AVE
FULDA MN
56131-9401
US

IV. Provider business mailing address

108 N SAINT PAUL AVE
FULDA MN
56131-9401
US

V. Phone/Fax

Practice location:
  • Phone: 507-425-0025
  • Fax: 507-425-0036
Mailing address:
  • Phone: 507-425-0025
  • Fax: 507-425-0036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number5251
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: