Bloemendaal, Davis

Bloemendaal, Davis is an individual health care provider with primary practice located at 575 N Sioux Point Rd , Dakota Dunes SD 57049-5312. 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. Bloemendaal, Davis can be contacted via phone (605) 217-2667.

Contact Information

Primary practice address
575 N Sioux Point Rd Dakota Dunes SD 57049-5312
Phone: (605) 217-2667
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1558037432
LBN Legal business name Bloemendaal, Davis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Dec 29th, 2022 - about 3 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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