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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1144209537 NPPES
Tennessee MEDICAID 018669000
Tennessee Other 3K149DA
Tennessee MEDICAID 896350900

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