MEDICARE: SARAH LOSBY SARAH LOSBY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3570	SC

General Provider Information

NPI Number	:	1831409341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LOSBY SARAH LOSBY

Provider Business Mailing Address
First Line	:	1221 BOWER PKWY
Second Line	:	SUITE 108
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3732
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 BOWER PKWY
Second Line	:	SUITE 108
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3732
Country	:	US
Telephone Number	:	608-206-3601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	10/18/2010

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