MEDICARE: SARAH ALISHAQEE

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1316667504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ALISHAQEE

Provider Business Mailing Address
First Line	:	1724 39TH ST S APT 201
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58103-7408
Country	:	US
Telephone Number	:	716-903-0292
Fax Number	:

Provider Business Practice Location Address
First Line	:	1724 39TH ST S APT 201
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58103-7408
Country	:	US
Telephone Number	:	716-903-0292
Fax Number	:

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

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	08/30/2022

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Directions to “ SARAH ALISHAQEE ” Practice Location

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