Blickensderfer, Jill

Blickensderfer, Jill is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology, which is considered as her primary health care specialty. Blickensderfer, Jill can be contacted via phone (605) 355-2500.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2500
Fax: (605) 355-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology 246Q00000X

Profile Details

NPI number 1659157774
LBN Legal business name Blickensderfer, Jill
Credentials MT(ASCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2023
Last updated Sep 5th, 2023 - about last year

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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