Vandeventer, Robert

Vandeventer, Robert is an individual health care provider with primary practice located at 408 Knollwood Drive , Rapid City SD 57701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vandeventer, Robert can be contacted via phone (605) 755-2273.

Contact Information

Primary practice address
408 Knollwood Drive Rapid City SD 57701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0303 South Dakota

Profile Details

NPI number 1023005626
LBN Legal business name Vandeventer, Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 5th, 2013 - about 11 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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