Provider Demographics
NPI:1063985828
Name:STEWART, SARAH LOUISE ROSEBERRY (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LOUISE ROSEBERRY
Last Name:STEWART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:LOUISE
Other - Last Name:ROSEBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:87 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3633
Mailing Address - Country:US
Mailing Address - Phone:732-703-6263
Mailing Address - Fax:
Practice Address - Street 1:87 UNION AVE
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3633
Practice Address - Country:US
Practice Address - Phone:732-703-6263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013211111N00000X
NJ38MC00778600111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor