Paull, Joshua R
Paull, Joshua R is an individual health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. 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. Paull, Joshua R can be contacted via phone (605) 385-6700.Contact Information
Primary practice address
2900 Doolittle Dr
Ellsworth Afb SD 57706-4821
Phone: (605) 385-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0723 | South Dakota |
Profile Details
| NPI number | 1750614038 |
|---|---|
| LBN Legal business name | Paull, Joshua R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2009 |
| Last updated | Jun 25th, 2021 - about 4 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 | 1750614038 | NPPES |
| South Dakota | Other | 0723 | LICENSE |
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