Bevers, Pauline
Bevers, Pauline is an individual health care provider with primary practice located at 300 W 5Th St , Miller SD 57362-1238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bevers, Pauline can be contacted via phone (605) 853-0158.Contact Information
Primary practice address
300 W 5Th St
Miller SD 57362-1238
Phone: (605) 853-0158
Fax: (605) 853-3885
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0219 | South Dakota |
Profile Details
NPI number | 1578528907 |
---|---|
LBN Legal business name | Bevers, Pauline |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2006 |
Last updated | Sep 23rd, 2009 - about 15 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 | 1578528907 | NPPES |
South Dakota | MEDICAID | 6820164 |
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