Abraham, Julia Agnes

Abraham, Julia Agnes is an individual health care provider with primary practice located at 111 E 10Th St , Dell Rapids SD 57022-1217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Abraham, Julia Agnes can be contacted via phone (605) 428-5446.

Contact Information

Primary practice address
111 E 10Th St Dell Rapids SD 57022-1217
Phone: (605) 428-5446
Fax: (605) 428-2333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0684 South Dakota

Profile Details

NPI number 1104082288
LBN Legal business name Abraham, Julia Agnes
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Oct 22nd, 2008 - about 16 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 1104082288 NPPES
South Dakota MEDICAID 6829854
South Dakota MEDICAID 6829853
South Dakota MEDICAID 6829850
South Dakota MEDICAID 6829852

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