Chesley, Jerry W

Chesley, Jerry W is an individual health care provider with primary practice located at 172 4Th St Se , Huron SD 57350-2510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chesley, Jerry W can be contacted via phone (605) 353-6200.

Contact Information

Primary practice address
172 4Th St Se Huron SD 57350-2510
Phone: (605) 353-6200
Fax: (605) 353-6593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0070 South Dakota

Profile Details

NPI number 1164404794
LBN Legal business name Chesley, Jerry W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1164404794 NPPES
South Dakota MEDICAID 6826000

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