Abraham, Julia Agnes
Abraham, Julia Agnes is an individual health care provider with primary practice located at 111 E 10Th St , Dell Rapids SD 57022-1217. 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. Abraham, Julia Agnes can be contacted via phone (605) 428-5446.Contact Information
Primary practice address
111 E 10Th St
Dell Rapids SD 57022-1217
Phone: (605) 428-5446
Fax: (605) 428-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0684 | South Dakota |
Profile Details
| NPI number | 1104082288 |
|---|---|
| LBN Legal business name | Abraham, Julia Agnes |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Oct 22nd, 2008 - about 18 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 | 1104082288 | NPPES |
| South Dakota | MEDICAID | 6829854 | |
| South Dakota | MEDICAID | 6829853 | |
| South Dakota | MEDICAID | 6829850 | |
| South Dakota | MEDICAID | 6829852 |
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