Smedsrud, Shelley R.
Smedsrud, Shelley R. is an individual health care provider with primary practice located at 900 E 54Th St N Ste 200 , Sioux Falls SD 57104-0686. 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. Smedsrud, Shelley R. can be contacted via phone (605) 328-9556.Contact Information
Primary practice address
900 E 54Th St N Ste 200
Sioux Falls SD 57104-0686
Phone: (605) 328-9556
Fax: (605) 328-9501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0415 | South Dakota |
Profile Details
| NPI number | 1972509446 |
|---|---|
| LBN Legal business name | Smedsrud, Shelley R. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Apr 18th, 2022 - about 2 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 | 1972509446 | NPPES |
| South Dakota | MEDICAID | 6826788 |
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