Hericks, Julie Ann

Hericks, Julie Ann 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 Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Hericks, Julie Ann can be contacted via phone (605) 355-2234.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Fax: (605) 355-2512
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X P005788 South Dakota

Profile Details

NPI number 1467123190
LBN Legal business name Hericks, Julie Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2021
Last updated Sep 22nd, 2021 - about 3 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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