Sawyer-Demaris, Susan Marie

Sawyer-Demaris, Susan Marie is an sole proprietor health care provider with primary practice located at 1900 Silver Lake Rd Nw Ste 110 , New Brighton MN 55112-1789. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Sawyer-Demaris, Susan Marie can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789
Phone: (651) 628-9566
Fax: (651) 628-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R092426-7 Minnesota

Profile Details

NPI number 1508919853
LBN Legal business name Sawyer-Demaris, Susan Marie
Credentials RN, MS, CNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 21st, 2022 - about 2 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 1508919853 NPPES
Minnesota MEDICAID 587445000
Minnesota Other 890000401

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