O'Donnell, Sara

O'Donnell, Sara is an sole proprietor health care provider with primary practice located at 1604 Sanborn St , Port Huron MI 48060-1908. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Ambulatory Health Care Facilities / Ambulatory Surgical. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is her primary health care specialty. O'Donnell, Sara can be contacted via phone (810) 434-3957.

Contact Information

Primary practice address
1604 Sanborn St Port Huron MI 48060-1908
Phone: (810) 434-3957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1285183582
LBN Legal business name O'Donnell, Sara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2016
Last updated Sep 27th, 2016 - about 8 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 1285183582 NPPES
Michigan Other 125347 NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

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