Provider Demographics
NPI:1245274794
Name:MACKAY, SARAH JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JEAN
Last Name:MACKAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 ENCINITAS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3782
Mailing Address - Country:US
Mailing Address - Phone:760-753-2157
Mailing Address - Fax:760-753-8108
Practice Address - Street 1:531 ENCINITAS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3782
Practice Address - Country:US
Practice Address - Phone:760-753-2157
Practice Address - Fax:760-753-8108
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA28647Medicare ID - Type UnspecifiedCHIROPRACTIC