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Contact Information

PRAIRIE PEDIATRICS, PC
1125 PIERCE ST
SIOUX CITY, IA51105-1485
 Phone: 712-255-8901
 Fax: 712-255-9161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PRAIRIE PEDIATRICS PC · (Female)

NPI Number 1306920319
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 01/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA Other 51104A001 TRICARE ENTITY ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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