Forrest, Sara Ann

Forrest, Sara Ann is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Forrest, Sara Ann can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R105984-3 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X R105984-3 Minnesota

Profile Details

NPI number 1508898156
LBN Legal business name Forrest, Sara Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 2nd, 2016 - about 9 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 1508898156 NPPES
Wisconsin MEDICAID 43903000
Wisconsin MEDICAID 828714700

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