Axtman, David D
Axtman, David D is an sole proprietor health care provider with primary practice located at 1400 S Glendale Ave 1305 W. 18Th St., Sioux Falls SD 57105-1416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Axtman, David D can be contacted via phone (605) 360-5369.Contact Information
Primary practice address
1400 S Glendale Ave 1305 W. 18Th St.
Sioux Falls SD 57105-1416
Phone: (605) 360-5369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0428 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 100569 | Iowa |
Profile Details
| NPI number | 1023081668 |
|---|---|
| LBN Legal business name | Axtman, David D |
| Credentials | MS PA-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023081668 | NPPES |
| South Dakota | MEDICAID | 6821932 |
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