Korczak, Beth Ann
Korczak, Beth Ann is an individual health care provider with primary practice located at 1705 Anne St Nw # 5 , Bemidji MN 56601-6151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Korczak, Beth Ann can be contacted via phone (218) 333-5000.Contact Information
Primary practice address
1705 Anne St Nw # 5
Bemidji MN 56601-6151
Phone: (218) 333-5000
Fax: (218) 333-5360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAC0247 | North Dakota |
Profile Details
| NPI number | 1871511444 |
|---|---|
| LBN Legal business name | Korczak, Beth Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1871511444 | NPPES |
| Minnesota | MEDICAID | 315442400 |
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