Provider Demographics
NPI:1316445638
Name:CASENHISER, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CASENHISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6014 W MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2212
Mailing Address - Country:US
Mailing Address - Phone:248-885-7453
Mailing Address - Fax:248-855-7458
Practice Address - Street 1:6014 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2212
Practice Address - Country:US
Practice Address - Phone:248-885-7453
Practice Address - Fax:248-855-7458
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic