Porembka, David Thomas

Porembka, David Thomas is an individual health care provider with primary practice located at 1325 S Cliff Ave , Sioux Falls SD 57105-1007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Porembka, David Thomas can be contacted via phone (605) 322-2460.

Contact Information

Primary practice address
1325 S Cliff Ave Sioux Falls SD 57105-1007
Phone: (605) 322-2460
Fax: (605) 322-2470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 34-003628 Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 9292 South Dakota
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 5101008315 Michigan

Profile Details

NPI number 1104884063
LBN Legal business name Porembka, David Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Nov 18th, 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 1104884063 NPPES
Indiana MEDICAID 100337010
Indiana MEDICAID 0685405
Indiana MEDICAID 64862956

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