Peldo, Jason Randall
Peldo, Jason Randall is an individual health care provider with primary practice located at 1440 N Main Street , Spearfish SD 57783-1505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peldo, Jason Randall can be contacted via phone (308) 696-8000.Contact Information
Primary practice address
1440 N Main Street
Spearfish SD 57783-1505
Phone: (308) 696-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CR000676 | South Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RO36615 | South Dakota |
Profile Details
NPI number | 1538273305 |
---|---|
LBN Legal business name | Peldo, Jason Randall |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Feb 15th, 2012 - about 12 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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