Doe, Sara Elizabeth

Doe, Sara Elizabeth is an sole proprietor health care provider with primary practice located at 1415 Portland Ave Department Of Surgery, Rochester NY 14621-3038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Doe, Sara Elizabeth can be contacted via phone (585) 922-4715.

Contact Information

Primary practice address
1415 Portland Ave Department Of Surgery Rochester NY 14621-3038
Phone: (585) 922-4715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1033478912
LBN Legal business name Doe, Sara Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2012
Last updated Feb 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033478912 NPPES
New York MEDICAID 03587446
New York Other 4942206

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