Popham, Sandy

Popham, Sandy is an sole proprietor health care provider with primary practice located at 1001 E Superior St Ste L201 , Duluth MN 55802-2207. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Popham, Sandy can be contacted via phone (218) 249-7980.

Contact Information

Primary practice address
1001 E Superior St Ste L201 Duluth MN 55802-2207
Phone: (218) 249-7980
Fax: (218) 249-7911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35304 Minnesota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35304 Minnesota

Profile Details

NPI number 1043269228
LBN Legal business name Popham, Sandy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jan 20th, 2021 - about 5 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 1043269228 NPPES
Minnesota Other 3100318 MEDICA
Minnesota MEDICAID 476323800 MEDICA
Minnesota MEDICAID 32439700 MEDICA
Minnesota Other 04N96P0 MEDICA

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