Poulsen, Jeremy

Poulsen, Jeremy is an individual health care provider with primary practice located at 101 Tower Rd , Dakota Dunes SD 57049-5007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Poulsen, Jeremy can be contacted via phone (605) 217-7246.

Contact Information

Primary practice address
101 Tower Rd Dakota Dunes SD 57049-5007
Phone: (605) 217-7246
Fax: (605) 217-4878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 7794 South Dakota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A9945 California

Profile Details

NPI number 1992826838
LBN Legal business name Poulsen, Jeremy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Dec 5th, 2017 - about 8 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 1992826838 NPPES
California Other P00454461 MEDICARE RAILROAD CARRIER

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