Zinkovsky, Sophia M

Zinkovsky, Sophia M is an sole proprietor health care provider with primary practice located at 144 S Hillside St , Wichita KS 67211-2154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Zinkovsky, Sophia M can be contacted via phone (316) 682-9900.

Contact Information

Primary practice address
144 S Hillside St Wichita KS 67211-2154
Fax: (316) 682-0311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-28830 Kansas

Profile Details

NPI number 1891751269
LBN Legal business name Zinkovsky, Sophia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Feb 6th, 2020 - about 6 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 1891751269 NPPES
Other 274563042 TAX ID
MEDICAID 100381950D TAX ID

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