Bedard, Loni Jean
Bedard, Loni Jean is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Bedard, Loni Jean can be contacted via phone (605) 719-8382.Contact Information
Primary practice address
353 Fairmont Blvd
Rapid City SD 57701-7375
Phone: (605) 719-8382
Fax: (605) 719-4934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | CP000122 | South Dakota |
Profile Details
| NPI number | 1861515744 |
|---|---|
| LBN Legal business name | Bedard, Loni Jean |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2007 |
| Last updated | Feb 16th, 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 | 1861515744 | NPPES |
| South Dakota | Other | R020229 | RN LICENSE |
| South Dakota | Other | 4993179 | RN LICENSE |
| South Dakota | MEDICAID | 6829590 | RN LICENSE |
| South Dakota | Other | CP000122 | RN LICENSE |
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