Etzkorn, Alyssa Jo
Etzkorn, Alyssa Jo is an individual health care provider with primary practice located at 100 Mac Ln , Pierre SD 57501-3391. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Etzkorn, Alyssa Jo can be contacted via phone (605) 945-5277.Contact Information
Primary practice address
100 Mac Ln
Pierre SD 57501-3391
Phone: (605) 945-5277
Fax: (605) 945-5389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1218 | South Dakota |
Profile Details
| NPI number | 1235780883 |
|---|---|
| LBN Legal business name | Etzkorn, Alyssa Jo |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2019 |
| Last updated | Jun 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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