Provider Demographics
NPI:1033116942
Name:DOWNS, SARA KING (AUD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:KING
Last Name:DOWNS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 LONDON RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-1617
Mailing Address - Country:US
Mailing Address - Phone:218-623-1045
Mailing Address - Fax:218-724-1096
Practice Address - Street 1:1525 LONDON RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812-1617
Practice Address - Country:US
Practice Address - Phone:218-623-1045
Practice Address - Fax:218-724-1096
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI457-156231H00000X
MN2569237600000X
MN7453231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4500400OtherMEDICA
MN054080300Medicaid
MN05643OtherHIGHMARK
WI41143200Medicaid
MN054080300Medicaid