Mabie, Sara Ann
Mabie, Sara Ann is an sole proprietor health care provider with primary practice located at 1189 Geneva N Ave , Oakdale MN 55128-5746. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mabie, Sara Ann can be contacted via phone (651) 702-2504.Contact Information
Primary practice address
1189 Geneva N Ave
Oakdale MN 55128-5746
Phone: (651) 702-2504
Fax: (651) 731-7905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2593 | Minnesota |
Profile Details
| NPI number | 1467624643 |
|---|---|
| LBN Legal business name | Mabie, Sara Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2008 |
| Last updated | Dec 1st, 2017 - about 7 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 | 1467624643 | NPPES |
| Minnesota | Other | 22-01213 | MEDICA |
| Minnesota | MEDICAID | 718317800 | MEDICA |
| Minnesota | Other | 39G02MA | MEDICA |
| Minnesota | Other | 964223 | MEDICA |
| Minnesota | Other | 637371016544 | MEDICA |
| Minnesota | Other | 637371026225 | MEDICA |
| Minnesota | Other | HP23634 | MEDICA |
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