Bietz, Jennifer L

Bietz, Jennifer L is an individual health care provider with primary practice located at 708 8Th St , Armour SD 57313-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bietz, Jennifer L can be contacted via phone (605) 724-2151.

Contact Information

Primary practice address
708 8Th St Armour SD 57313-2102
Phone: (605) 724-2151
Fax: (605) 724-2310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0489 South Dakota

Profile Details

NPI number 1225033681
LBN Legal business name Bietz, Jennifer L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Dec 6th, 2011 - about 13 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 1225033681 NPPES
South Dakota MEDICAID 6823890
South Dakota Other 49997104
South Dakota Other 6504
South Dakota Other 23141

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