Tomboulian, Sherryl J.

Tomboulian, Sherryl J. is an individual health care provider with primary practice located at 205 Orchard Dr , Sisseton SD 57262-2312. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tomboulian, Sherryl J. can be contacted via phone (605) 698-7681.

Contact Information

Primary practice address
205 Orchard Dr Sisseton SD 57262-2312
Fax: (605) 698-3493
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X A73423 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49138 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9632 South Dakota

Profile Details

NPI number 1003847971
LBN Legal business name Tomboulian, Sherryl J.
Credentials M.D., P.H.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 11th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003847971 NPPES
Colorado MEDICAID 47480777

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