Provider Demographics
NPI:1104055540
Name:BROTSCHUL, SARAH MEANOR (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MEANOR
Last Name:BROTSCHUL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:MEANOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:19 EMPRESS LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3243
Mailing Address - Country:US
Mailing Address - Phone:856-266-4878
Mailing Address - Fax:609-482-4742
Practice Address - Street 1:2 PRINCESS RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2320
Practice Address - Country:US
Practice Address - Phone:856-266-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00680000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor