Provider Demographics
NPI:1588066575
Name:STEGMOYER, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:STEGMOYER
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 1:35200 STEVENS BLVD
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-2336
Mailing Address - Country:US
Mailing Address - Phone:440-283-2236
Mailing Address - Fax:
Practice Address - Street 1:35200 STEVENS BLVD
Practice Address - Street 2:
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-2336
Practice Address - Country:US
Practice Address - Phone:440-283-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist