Ingram, Pamela Kay

Ingram, Pamela Kay is an individual health care provider with primary practice located at 915 Pierce St , Sioux City IA 51101-1031. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ingram, Pamela Kay can be contacted via phone (712) 277-0809.

Contact Information

Primary practice address
915 Pierce St Sioux City IA 51101-1031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CD07001 Iowa

Profile Details

NPI number 1881881977
LBN Legal business name Ingram, Pamela Kay
Credentials CCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 2nd, 2007 - about 17 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 1881881977 NPPES
Iowa MEDICAID 0791665

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