Nielsen, Bethany R

Nielsen, Bethany R is an individual health care provider with primary practice located at 101 Merrill Ave, Box 1010 , North Sioux City SD 57049. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nielsen, Bethany R can be contacted via phone (605) 232-8802.

Contact Information

Primary practice address
101 Merrill Ave, Box 1010 North Sioux City SD 57049
Phone: (605) 232-8802
Fax: (605) 232-0973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D0615 South Dakota

Profile Details

NPI number 1265514681
LBN Legal business name Nielsen, Bethany R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265514681 NPPES
Nebraska MEDICAID 46044478613
Nebraska MEDICAID 0722009
Nebraska MEDICAID 46044478600

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