Provider Demographics
NPI:1699058529
Name:STENIGER, SARAH LYNN-ANN
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN-ANN
Last Name:STENIGER
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 1:126 WINTERBOURNE LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:CT
Mailing Address - Zip Code:06019-2012
Mailing Address - Country:US
Mailing Address - Phone:860-309-7157
Mailing Address - Fax:
Practice Address - Street 1:1745 E MAIN ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3520
Practice Address - Country:US
Practice Address - Phone:860-482-8837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT183500000XOtherTAX ID