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NPI Code Detail

MEDICARE: SARAH C. AUSTIN

MEDICARE: SARAH C. AUSTIN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1912190893
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH C. AUSTIN
Provider Business Mailing Address
First Line : 5 LOON LAKE CAMPGROUND RD
Second Line :
City : CROYDON
State : NH
Zip : 03773-4401
Country : US
Telephone Number : 603-863-4853
Fax Number :
Provider Business Practice Location Address
First Line : 9 HANOVER ST
Second Line : SUITE 2
City : LEBANON
State : NH
Zip : 03766-1312
Country : US
Telephone Number : 603-448-0126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2007
Last Update Date : 08/23/2007

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