Sundberg, Sylvia R

Sundberg, Sylvia R is an individual health care provider with primary practice located at 1900 Centracare Circle , St Cloud MN 56303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sundberg, Sylvia R can be contacted via phone (320) 654-3630.

Contact Information

Primary practice address
1900 Centracare Circle St Cloud MN 56303
Fax: (320) 654-3657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36933 Minnesota

Profile Details

NPI number 1558352401
LBN Legal business name Sundberg, Sylvia R
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
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 1558352401 NPPES
Other 110413 U CARE
Other 763002 U CARE
Other 1202207 U CARE
Other 36933 U CARE
Other HP28348 U CARE
Other 44132700 U CARE
Other 1001397 U CARE
Other 51AA3SU U CARE

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