Shimmin, Sara R

Shimmin, Sara R is an individual health care provider with primary practice located at 5777 E Mayo Blvd , Phoenix AZ 85054-4502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Shimmin, Sara R can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
5777 E Mayo Blvd Phoenix AZ 85054-4502
Phone: (480) 301-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46859 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35627 Arizona

Profile Details

NPI number 1497729982
LBN Legal business name Shimmin, Sara R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 30th, 2007 - about 17 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 1497729982 NPPES
Arizona MEDICAID 117359
Arizona Other P00413337

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