Shumway, Sara J
Shumway, Sara J is an individual health care provider with primary practice located at Pwb Third Floor, Clinic 3B 516 Delaware Street Se, Minneapolis MN 55455. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Shumway, Sara J can be contacted via phone (612) 625-3600.Contact Information
Primary practice address
Pwb Third Floor, Clinic 3B 516 Delaware Street Se
Minneapolis MN 55455
Phone: (612) 625-3600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32237 | Minnesota |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 32237 | Minnesota |
Profile Details
NPI number | 1164527503 |
---|---|
LBN Legal business name | Shumway, Sara J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2006 |
Last updated | Sep 7th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164527503 | NPPES |
Minnesota | MEDICAID | 576390800 | |
Minnesota | Other | 18-22559 | |
Minnesota | Other | HP22205 | |
Minnesota | Other | 1009309 | |
Minnesota | Other | 18-70034 | |
Minnesota | Other | 2T105SH | |
Minnesota | MEDICAID | 0972356 | |
Minnesota | Other | 101586 | |
Minnesota | Other | 033969 | |
Minnesota | Other | 768349 |
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