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
Phone: (612) 379-1555
Fax: (612) 379-1554
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528049459 | NPPES |
Minnesota | MEDICAID | 998103900 |
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