Fossum, Sara Lynn
Fossum, Sara Lynn is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Fossum, Sara Lynn can be contacted via phone (734) 936-4000.Contact Information
Primary practice address
1500 E Medical Center Dr
Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301507860 | Michigan |
Profile Details
| NPI number | 1891141826 |
|---|---|
| LBN Legal business name | Fossum, Sara Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2016 |
| Last updated | Dec 12th, 2022 - about 4 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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