Pottebaum, Sheila Marie
Pottebaum, Sheila Marie is an individual health care provider with primary practice located at 939 Office Park Rd Suite 200, West Des Moines IA 50265-2505. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pottebaum, Sheila Marie can be contacted via phone (515) 226-2508.Contact Information
Primary practice address
939 Office Park Rd Suite 200
West Des Moines IA 50265-2505
Phone: (515) 226-2508
Fax: (515) 440-3388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 638 | Iowa |
Profile Details
| NPI number | 1881619229 |
|---|---|
| LBN Legal business name | Pottebaum, Sheila Marie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1881619229 | NPPES |
| Iowa | Other | 42105384450265A015 | TRIWEST |
| Iowa | MEDICAID | 0014316 | TRIWEST |
| Iowa | Other | 01431 | TRIWEST |
| Iowa | Other | 18669 | TRIWEST |
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