Bockholt, Nathan Andrew

Bockholt, Nathan Andrew is an individual health care provider with primary practice located at 201 W 69Th St , Sioux Falls SD 57108-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bockholt, Nathan Andrew can be contacted via phone (605) 336-0635.

Contact Information

Primary practice address
201 W 69Th St Sioux Falls SD 57108-2403
Phone: (605) 336-0635
Fax: (605) 271-0543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 9520 South Dakota

Profile Details

NPI number 1295901460
LBN Legal business name Bockholt, Nathan Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Sep 25th, 2015 - about 10 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 1295901460 NPPES
South Dakota MEDICAID 1295901460

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