Jaquith, Phil D
Jaquith, Phil D is an individual health care provider with primary practice located at 101 S Plum St , Vermillion SD 57069-3306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Jaquith, Phil D can be contacted via phone (605) 624-8643.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0462 | South Dakota |
Profile Details
| NPI number | 1437150380 |
|---|---|
| LBN Legal business name | Jaquith, Phil D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Aug 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437150380 | NPPES |
| South Dakota | MEDICAID | 6822814 |
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