Schroeder, Beth A

Schroeder, Beth A is an individual health care provider with primary practice located at 756 E Lake St , Lake Andes SD 57356-2001. 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. Schroeder, Beth A can be contacted via phone (605) 487-7878.

Contact Information

Primary practice address
756 E Lake St Lake Andes SD 57356-2001
Phone: (605) 487-7878
Fax: (605) 487-9566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0153 South Dakota

Profile Details

NPI number 1114918687
LBN Legal business name Schroeder, Beth A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114918687 NPPES
South Dakota Other 4997643 WELLMARK LAKE ANDES
South Dakota MEDICAID 6821740 WELLMARK LAKE ANDES

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