| Dubuque Neurology And Sleep Medicine P.c. | |
|
2140 Jfk Rd Ste C Dubuque IA 52002-3883 | |
| (563) 583-1558 | |
| (563) 583-0443 |
| Full Name | Dubuque Neurology And Sleep Medicine P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2140 Jfk Rd Ste C, Dubuque, Iowa |
| Authorized Official Name and Position | Ronald Scott Sims (OWNER) |
| Authorized Official Contact | 5615831558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dubuque Neurology And Sleep Medicine P.c. 2140 Jfk Rd Ste C Dubuque IA 52002-3883 Ph: (563) 583-1558 | Dubuque Neurology And Sleep Medicine P.c. 2140 Jfk Rd Ste C Dubuque IA 52002-3883 Ph: (563) 583-1558 |
| NPI Number | 1700822665 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 01/25/2013 |
| Medicare PECOS PAC ID | 2668484114 |
|---|---|
| Medicare Enrollment ID | O20060627000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700822665 | NPI | - | NPPES |
| 0725820 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ronald S Sims |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639138837 PECOS PAC ID: 5496767154 Enrollment ID: I20060620000157 |
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