Schwiesow, Joel

Schwiesow, Joel is an individual health care provider with primary practice located at 216 Anamaria Dr , Rapid City SD 57701-7366. 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. Schwiesow, Joel can be contacted via phone (605) 721-0337.

Contact Information

Primary practice address
216 Anamaria Dr Rapid City SD 57701-7366
Phone: (605) 721-0337
Fax: (605) 721-0043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RO14728 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12580.0880 Wyoming

Profile Details

NPI number 1568456093
LBN Legal business name Schwiesow, Joel
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jan 21st, 2010 - about 14 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 1568456093 NPPES
South Dakota MEDICAID 5750124

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