Boostrom, Sarah York
Boostrom, Sarah York is an individual health care provider with primary practice located at 3410 Worth St Suite 235, Dallas TX 75246-2003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Boostrom, Sarah York can be contacted via phone (214) 820-8768.Contact Information
Primary practice address
3410 Worth St Suite 235
Dallas TX 75246-2003
Phone: (214) 820-8768
Fax: (214) 820-8769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 49678 | Minnesota |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 49678 | Minnesota |
Profile Details
NPI number | 1336269018 |
---|---|
LBN Legal business name | Boostrom, Sarah York |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | May 22nd, 2014 - about 10 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 | 1336269018 | NPPES |
Texas | MEDICAID | 3293961-01 | |
Texas | MEDICAID | 450007000 |
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