Servold, Sally A

Servold, Sally A is an individual health care provider with primary practice located at 820 Castle Valley Blvd Suite 210, New Castle CO 81647-9480. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Servold, Sally A can be contacted via phone (970) 928-9785.

Contact Information

Primary practice address
820 Castle Valley Blvd Suite 210 New Castle CO 81647-9480
Phone: (970) 928-9785
Fax: (970) 928-0423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0459 Colorado

Profile Details

NPI number 1831281708
LBN Legal business name Servold, Sally A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Mar 7th, 2023 - about last year

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 1831281708 NPPES
Colorado Other 0459 STATE LIC
Colorado MEDICAID 01004597 STATE LIC

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