Rezich, Paul M
Rezich, Paul M is an individual health care provider with primary practice located at 503 East North Street , Rapid City SD 57701-1462. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rezich, Paul M can be contacted via phone (605) 343-2229.Contact Information
Primary practice address
503 East North Street
Rapid City SD 57701-1462
Phone: (605) 343-2229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | M704 | South Dakota |
Profile Details
| NPI number | 1679591622 |
|---|---|
| LBN Legal business name | Rezich, Paul M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679591622 | NPPES |
| South Dakota | MEDICAID | 7809990 |
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