Peitz, Michele L

Peitz, Michele L is an individual health care provider with primary practice located at 401 W Glynn Dr , Parkston SD 57366-9605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peitz, Michele L can be contacted via phone (605) 928-3311.

Contact Information

Primary practice address
401 W Glynn Dr Parkston SD 57366-9605
Phone: (605) 928-3311
Fax: (605) 928-4417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0367 South Dakota

Profile Details

NPI number 1932190790
LBN Legal business name Peitz, Michele L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 21st, 2018 - about 8 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 1932190790 NPPES
South Dakota Other 9238106 DAKOTACARE
South Dakota MEDICAID 5340340 DAKOTACARE
South Dakota MEDICAID 6825764 DAKOTACARE
South Dakota Other 4994846 DAKOTACARE
South Dakota MEDICAID 5340070 DAKOTACARE
South Dakota Other 4994847 DAKOTACARE
South Dakota MEDICAID 6825765 DAKOTACARE
South Dakota Other 4994845 DAKOTACARE

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