Sobczyk, Jill Renee

Sobczyk, Jill Renee is an individual health care provider with primary practice located at 201 Ridge St Suite 201, Council Bluffs IA 51503-4643. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sobczyk, Jill Renee can be contacted via phone (712) 322-5899.

Contact Information

Primary practice address
201 Ridge St Suite 201 Council Bluffs IA 51503-4643
Phone: (712) 322-5899
Fax: (712) 322-5730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001791 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1487783270
LBN Legal business name Sobczyk, Jill Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated May 4th, 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 1487783270 NPPES
Iowa Other 51011042 STATE CONTROLLED SUBSTANC
Iowa Other 001791 STATE CONTROLLED SUBSTANC
Iowa Other 1053300020 STATE CONTROLLED SUBSTANC

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