| Sarah Tarkowski Llc | |
|
318 E Main St Ste Z Lowell MI 49331-1714 | |
| (616) 894-6673 | |
| Not Available |
| Full Name | Sarah Tarkowski Llc |
|---|---|
| Speciality | Social Worker |
| Location | 318 E Main St Ste Z, Lowell, Michigan |
| Authorized Official Name and Position | Sarah Tarkowski (OWNER) |
| Authorized Official Contact | 6168621962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Tarkowski Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Sarah Tarkowski Llc 318 E Main St Ste Z Lowell MI 49331-1714 Ph: (616) 894-6673 |
| NPI Number | 1508119082 |
|---|---|
| Provider Enumeration Date | 10/20/2012 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 7618290917 |
|---|---|
| Medicare Enrollment ID | O20141217001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508119082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801090250 (Michigan) | Secondary |
| Provider Name | Sarah B Tarkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609031988 PECOS PAC ID: 2062735368 Enrollment ID: I20141217001766 |
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