W.A. Boade, Md Prof Llc

LBN: W.A. Boade, Md Prof Llc
W.A. Boade, Md Prof Llc is an health care organization with primary practice located at 4500 N Cliff Ave , Sioux Falls SD 57104-0553. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as the primary health care specialty. W.A. Boade, Md Prof Llc can be contacted via phone (605) 306-6000, or through Jensen, Penny Ann via phone (605) 306-6000.

Contact Information

Primary practice address
4500 N Cliff Ave Sioux Falls SD 57104-0553
Phone: (605) 306-6000
Fax: (605) 221-2141
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Penny Ann
Phone: (605) 306-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X

Profile Details

NPI number 1558568378
LBN Legal business name W.A. Boade, Md Prof Llc
DBA Doing business as
Authorized official Jensen, Penny Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558568378 NPPES
South Dakota MEDICAID 6600093

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