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
Fax: (605) 853-3885
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578528907 NPPES
South Dakota MEDICAID 6820164

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