Poppens, Mitch D.

Poppens, Mitch D. is an individual health care provider with primary practice located at 323 Sw 10Th St , Madison SD 57042-3200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Poppens, Mitch D. can be contacted via phone (605) 256-6551.

Contact Information

Primary practice address
323 Sw 10Th St Madison SD 57042-3200
Phone: (605) 256-6551
Fax: (605) 256-6469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0522 South Dakota

Profile Details

NPI number 1144207879
LBN Legal business name Poppens, Mitch D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Feb 21st, 2017 - 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 1144207879 NPPES
South Dakota MEDICAID 6824594

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