Deraad, Roger E
Deraad, Roger E is an individual health care provider with primary practice located at 4150 Fifth Street , Rapid City SD 57701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Deraad, Roger E can be contacted via phone (605) 399-4300.Contact Information
Primary practice address
4150 Fifth Street
Rapid City SD 57701
Phone: (605) 399-4300
Fax: (605) 399-4352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CP000147 | South Dakota |
Profile Details
| NPI number | 1750338604 |
|---|---|
| LBN Legal business name | Deraad, Roger E |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jan 3rd, 2013 - about 11 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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