Sachs, Mary A

Sachs, Mary A is an individual health care provider with primary practice located at 347 Smith Ave N Childrens Specialty Lcinic- Asthma Education Stpl, Saint Paul MN 55102-2387. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Sachs, Mary A can be contacted via phone (651) 220-6101.

Contact Information

Primary practice address
347 Smith Ave N Childrens Specialty Lcinic- Asthma Education Stpl Saint Paul MN 55102-2387
Fax: (651) 220-6589
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R121909-4 Minnesota

Profile Details

NPI number 1720089733
LBN Legal business name Sachs, Mary A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Aug 31st, 2012 - about 12 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 1720089733 NPPES
Minnesota MEDICAID 578024100

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