Birgenheir, Michael R

Birgenheir, Michael R is an individual health care provider with primary practice located at 814 Jackson St , Burke SD 57523-0358. 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. Birgenheir, Michael R can be contacted via phone (605) 775-2361.

Contact Information

Primary practice address
814 Jackson St Burke SD 57523-0358
Phone: (605) 775-2361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1012584 Nebraska

Profile Details

NPI number 1346289568
LBN Legal business name Birgenheir, Michael R
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 18th, 2008 - about 17 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 1346289568 NPPES
South Dakota MEDICAID 6823712
South Dakota Other 27748
South Dakota Other 4997170
South Dakota Other 505068706

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