Healthcare Provider Details

I. General information

NPI: 1700822665
Provider Name (Legal Business Name): DUBUQUE NEUROLOGY AND SLEEP MEDICINE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 JFK RD STE C
DUBUQUE IA
52002-3883
US

IV. Provider business mailing address

2140 JFK RD STE C
DUBUQUE IA
52002-3883
US

V. Phone/Fax

Practice location:
  • Phone: 563-583-1558
  • Fax: 563-583-0443
Mailing address:
  • Phone: 563-583-1558
  • Fax: 563-583-0443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD SCOTT SIMS
Title or Position: OWNER
Credential: M.D.
Phone: 561-583-1558