Jolley, Samuel
Jolley, Samuel is an individual health care provider with primary practice located at 911 E 20Th St Ste 700 , Sioux Falls SD 57105-1049. 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. Jolley, Samuel can be contacted via phone (605) 334-0393.Contact Information
Primary practice address
911 E 20Th St Ste 700
Sioux Falls SD 57105-1049
Phone: (605) 334-0393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1210 | South Dakota |
Profile Details
| NPI number | 1336798222 |
|---|---|
| LBN Legal business name | Jolley, Samuel |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2019 |
| Last updated | Sep 4th, 2019 - about 7 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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