Blickensderfer, E David

Blickensderfer, E David is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Blickensderfer, E David can be contacted via phone (605) 343-1333.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701-7375
Phone: (605) 343-1333
Fax: (605) 343-6017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 3704 South Dakota

Profile Details

NPI number 1760461263
LBN Legal business name Blickensderfer, E David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jan 26th, 2017 - about 8 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 1760461263 NPPES
South Dakota MEDICAID 5707050
South Dakota Other 0002907
South Dakota Other 050025368

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