Provider Demographics
NPI:1447717707
Name:HANEY, SARAH (BS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HANEY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1099
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80866-1099
Mailing Address - Country:US
Mailing Address - Phone:719-497-9775
Mailing Address - Fax:719-452-3801
Practice Address - Street 1:1041 MATEO CAMINO
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-1064
Practice Address - Country:US
Practice Address - Phone:719-497-9775
Practice Address - Fax:719-452-3801
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies