Provider Demographics
NPI:1487972139
Name:OSCARSON, SARA R (DC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:R
Last Name:OSCARSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:R
Other - Last Name:CHRISTIANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:HENNING
Mailing Address - State:MN
Mailing Address - Zip Code:56551-0134
Mailing Address - Country:US
Mailing Address - Phone:218-548-2447
Mailing Address - Fax:218-548-2448
Practice Address - Street 1:801 INMAN ST
Practice Address - Street 2:
Practice Address - City:HENNING
Practice Address - State:MN
Practice Address - Zip Code:56551-4102
Practice Address - Country:US
Practice Address - Phone:218-548-2447
Practice Address - Fax:218-548-2448
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN5362OtherLICENSE