Davern, Sharon M
Davern, Sharon M is an sole proprietor health care provider with primary practice located at 1001 14Th St Nw , Rochester MN 55901-2590. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Davern, Sharon M can be contacted via phone (507) 534-2668.Contact Information
Primary practice address
1001 14Th St Nw
Rochester MN 55901-2590
Phone: (507) 534-2668
Fax: (507) 540-1290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2103 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 692 | Tennessee |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2 | Minnesota |
Profile Details
NPI number | 1144209537 |
---|---|
LBN Legal business name | Davern, Sharon M |
Credentials | MSED |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 13th, 2006 |
Last updated | Apr 4th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144209537 | NPPES |
Tennessee | MEDICAID | 018669000 | |
Tennessee | Other | 3K149DA | |
Tennessee | MEDICAID | 896350900 |
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