Provider Demographics
NPI:1548705437
Name:MICHALK, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MICHALK
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:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:METALINE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99153-0302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:224 E 5TH AVE APT A
Practice Address - Street 2:
Practice Address - City:METALINE FALLS
Practice Address - State:WA
Practice Address - Zip Code:99153-9730
Practice Address - Country:US
Practice Address - Phone:509-309-4494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker