Dean, Charles L.

Dean, Charles L. is an individual health care provider with primary practice located at 1301 W 18Th St , Sioux Falls SD 57105-0401. 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. Dean, Charles L. can be contacted via phone (605) 312-2200.

Contact Information

Primary practice address
1301 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 312-2200
Fax: (605) 312-2205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0956 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2006031509 Missouri

Profile Details

NPI number 1245329648
LBN Legal business name Dean, Charles L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 9th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245329648 NPPES
Kansas MEDICAID 200406410A
Kansas Other 214924
Kansas MEDICAID 220083022
Kansas Other P00350032
Kansas MEDICAID 200096650A

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