Healthcare Provider Details

I. General information

NPI: 1609825140
Provider Name (Legal Business Name): SARA MARIE DENNING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 05/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 CHAPEL DR SUITE A
FINDLAY OH
45840-1335
US

IV. Provider business mailing address

PO BOX 352108
TOLEDO OH
43635-2108
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-7780
  • Fax: 419-517-0216
Mailing address:
  • Phone: 419-843-7780
  • Fax: 419-517-0216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.001767
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: