Jerome, Sarah Jeanne

Jerome, Sarah Jeanne is an individual health care provider with primary practice located at 225 Se Main St , Minneapolis MN 55414-2124. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jerome, Sarah Jeanne can be contacted via phone (612) 379-1555.

Contact Information

Primary practice address
225 Se Main St Minneapolis MN 55414-2124
Fax: (612) 379-1554
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2779 Minnesota

Profile Details

NPI number 1528049459
LBN Legal business name Jerome, Sarah Jeanne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Dec 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528049459 NPPES
Minnesota MEDICAID 998103900

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