Koep Dickey, Sharon Marie

Koep Dickey, Sharon Marie is an individual health care provider with primary practice located at 19425 Evans St Nw , Elk River MN 55330-1074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koep Dickey, Sharon Marie can be contacted via phone (763) 389-7686.

Contact Information

Primary practice address
19425 Evans St Nw Elk River MN 55330-1074
Phone: (763) 389-7686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0962504 Minnesota

Profile Details

NPI number 1184618688
LBN Legal business name Koep Dickey, Sharon Marie
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Oct 22nd, 2015 - about 11 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 1184618688 NPPES
Minnesota MEDICAID 326462300

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