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
Fax: (214) 820-8769
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336269018 NPPES
Texas MEDICAID 3293961-01
Texas MEDICAID 450007000

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