Bordewyk, Karen M

Bordewyk, Karen M is an individual health care provider with primary practice located at 4500 W 69Th St , Sioux Falls SD 57108-8148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bordewyk, Karen M can be contacted via phone (605) 977-7000.

Contact Information

Primary practice address
4500 W 69Th St Sioux Falls SD 57108-8148
Phone: (605) 977-7000
Fax: (605) 977-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R018040 South Dakota

Profile Details

NPI number 1538154372
LBN Legal business name Bordewyk, Karen M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538154372 NPPES
Iowa MEDICAID 0551267
Iowa Other 0008160
Iowa MEDICAID 5751750

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