Sackariason, Edwinna Gates

Sackariason, Edwinna Gates is an sole proprietor health care provider with primary practice located at 1901 Fredeen Ct , New Brighton MN 55112-2412. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Sackariason, Edwinna Gates can be contacted via phone (651) 653-0786.

Contact Information

Primary practice address
1901 Fredeen Ct New Brighton MN 55112-2412
Phone: (651) 653-0786
Fax: (651) 762-7944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA8782 Florida

Profile Details

NPI number 1437467107
LBN Legal business name Sackariason, Edwinna Gates
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2010
Last updated Sep 15th, 2010 - about 16 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 1437467107 NPPES
Minnesota Other 103503 ABMP
Minnesota Other 7068-00 ABMP
Minnesota Other MA8782 ABMP

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