Mccumber, Sara Ann

Mccumber, Sara Ann is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Mccumber, Sara Ann can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R092298-4 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R092298-4 Minnesota

Profile Details

NPI number 1619918406
LBN Legal business name Mccumber, Sara Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 29th, 2011 - about 13 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 1619918406 NPPES
Minnesota MEDICAID 956402100
Minnesota MEDICAID 43947700

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