Bommersbach, Paul M

Bommersbach, Paul M is an individual health care provider with primary practice located at 800 E 21St St , Sioux Falls SD 57105-1016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bommersbach, Paul M can be contacted via phone (605) 322-2754.

Contact Information

Primary practice address
800 E 21St St Sioux Falls SD 57105-1016
Phone: (605) 322-2754
Fax: (605) 322-2727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R025403 South Dakota

Profile Details

NPI number 1194710939
LBN Legal business name Bommersbach, Paul M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Aug 20th, 2010 - about 16 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 1194710939 NPPES
Minnesota Other 013K4BO MN BLUE CROSS BS
Minnesota MEDICAID 1538736 MN BLUE CROSS BS
Minnesota Other 005230 MN BLUE CROSS BS
Minnesota Other 4995505 MN BLUE CROSS BS
Minnesota Other R025403 MN BLUE CROSS BS
Minnesota MEDICAID 46022474348 MN BLUE CROSS BS
Minnesota MEDICAID 5751466 MN BLUE CROSS BS
Minnesota MEDICAID 5751464 MN BLUE CROSS BS
Minnesota MEDICAID 350443300 MN BLUE CROSS BS
Minnesota MEDICAID 2538736 MN BLUE CROSS BS

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