Jahraus, Mary G

Jahraus, Mary G is an individual health care provider with primary practice located at 100 Mac Lane Avera Medical Group Pierre, Pierre SD 57501. 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. Jahraus, Mary G can be contacted via phone (605) 224-7070.

Contact Information

Primary practice address
100 Mac Lane Avera Medical Group Pierre Pierre SD 57501
Phone: (605) 224-7070
Fax: (605) 224-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0228 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 228 South Dakota

Profile Details

NPI number 1689611212
LBN Legal business name Jahraus, Mary G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 13th, 2012 - about 13 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 1689611212 NPPES
South Dakota MEDICAID 3820713
South Dakota MEDICAID 6820710

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