Popham, Sandy
Popham, Sandy is an sole proprietor health care provider with primary practice located at 1001 E Superior St Ste L201 , Duluth MN 55802-2207. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Popham, Sandy can be contacted via phone (218) 249-7980.Contact Information
Primary practice address
1001 E Superior St Ste L201
Duluth MN 55802-2207
Phone: (218) 249-7980
Fax: (218) 249-7911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35304 | Minnesota |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35304 | Minnesota |
Profile Details
| NPI number | 1043269228 |
|---|---|
| LBN Legal business name | Popham, Sandy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Jan 20th, 2021 - about 4 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 | 1043269228 | NPPES |
| Minnesota | Other | 3100318 | MEDICA |
| Minnesota | MEDICAID | 476323800 | MEDICA |
| Minnesota | MEDICAID | 32439700 | MEDICA |
| Minnesota | Other | 04N96P0 | MEDICA |
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