Smith, Brandy J
Smith, Brandy J is an individual health care provider with primary practice located at 1310 W 22Nd St , Sioux Falls SD 57105-1501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Brandy J can be contacted via phone (605) 328-8700.Contact Information
Primary practice address
1310 W 22Nd St
Sioux Falls SD 57105-1501
Phone: (605) 328-8700
Fax: (605) 328-8701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP000431 | South Dakota |
Profile Details
| NPI number | 1215932363 |
|---|---|
| LBN Legal business name | Smith, Brandy J |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | May 15th, 2009 - about 15 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 | 1215932363 | NPPES |
| South Dakota | MEDICAID | 6827770 |
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