Kraayenbrink, Joel

Kraayenbrink, Joel is an individual health care provider with primary practice located at 810 E 23Rd St , Sioux Falls SD 57105-2135. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kraayenbrink, Joel can be contacted via phone (605) 331-5890.

Contact Information

Primary practice address
810 E 23Rd St Sioux Falls SD 57105-2135
Fax: (605) 336-3974
Website:

Profile Details

NPI number 1144698978
LBN Legal business name Kraayenbrink, Joel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2015
Last updated Sep 12th, 2019 - about 6 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 1144698978 NPPES
South Dakota Other 1037 SD LICENSE

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