Aanderud, Michael J

Aanderud, Michael J is an individual health care provider with primary practice located at 7220 S Highway 16 , Rapid City SD 57702-8708. 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. Aanderud, Michael J can be contacted via phone (605) 341-1414.

Contact Information

Primary practice address
7220 S Highway 16 Rapid City SD 57702-8708
Phone: (605) 341-1414
Fax: (605) 341-7062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0451 South Dakota

Profile Details

NPI number 1265412878
LBN Legal business name Aanderud, Michael J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 19th, 2017 - about 9 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 1265412878 NPPES
South Dakota Other 1254560001 CIGNA MEDICARE
South Dakota MEDICAID 6824060 CIGNA MEDICARE
South Dakota Other 970027652 CIGNA MEDICARE

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