MEDICARE: DR. SARA KING DOWNS AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	457-156	WI
2	237600000X	Audiologist-Hearing Aid Fitter	2569	MN
3	231H00000X	Audiologist	7453	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4500400	OTHER	MN	MEDICA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	05643	OTHER	MN	HIGHMARK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033116942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA KING DOWNS AU.D.

Provider Business Mailing Address
First Line	:	1525 LONDON RD
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55812-1617
Country	:	US
Telephone Number	:	218-623-1045
Fax Number	:	218-724-1096

Provider Business Practice Location Address
First Line	:	1525 LONDON RD
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55812-1617
Country	:	US
Telephone Number	:	218-623-1045
Fax Number	:	218-724-1096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/02/2021

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