Burdman, Ethan David

Burdman, Ethan David is an individual health care provider with primary practice located at 608 E Garfield Ave , Gettysburg SD 57442-1325. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Burdman, Ethan David can be contacted via phone (605) 765-2273.

Contact Information

Primary practice address
608 E Garfield Ave Gettysburg SD 57442-1325
Phone: (605) 765-2273
Fax: (605) 765-3212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0692 South Dakota

Profile Details

NPI number 1710130190
LBN Legal business name Burdman, Ethan David
Credentials PA-C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Oct 29th, 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 1710130190 NPPES
South Dakota Other 0692 SOUTH DAKOTA STATE LICENSE

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