Sufka-Boyd, Pamela L
Sufka-Boyd, Pamela L is an individual health care provider with primary practice located at 1410 Sw Tradition Dr Ste 120, Ankeny IA 50023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sufka-Boyd, Pamela L can be contacted via phone (515) 875-9040.Contact Information
Primary practice address
1410 Sw Tradition Dr Ste 120
Ankeny IA 50023
Phone: (515) 875-9040
Fax: (515) 875-9041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO-02951 | Iowa |
Profile Details
NPI number | 1528046117 |
---|---|
LBN Legal business name | Sufka-Boyd, Pamela L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2006 |
Last updated | Aug 17th, 2021 - about 3 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 | 1528046117 | NPPES |
Iowa | Other | 080106294 | RR MEDICARE |
Iowa | MEDICAID | 1125054 | RR MEDICARE |
Iowa | MEDICAID | 3125054 | RR MEDICARE |
Iowa | MEDICAID | 1528046117 | RR MEDICARE |
Iowa | MEDICAID | 2125054 | RR MEDICARE |
Iowa | MEDICAID | 4125054 | RR MEDICARE |
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