Rudebusch, Misty

Rudebusch, Misty is an individual health care provider with primary practice located at 213 S Main , Howard SD 57349. 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. Rudebusch, Misty can be contacted via phone (605) 772-4426.

Contact Information

Primary practice address
213 S Main Howard SD 57349
Phone: (605) 772-4426
Fax: (605) 772-4261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 448 South Dakota

Profile Details

NPI number 1013987478
LBN Legal business name Rudebusch, Misty
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Nov 16th, 2009 - about 16 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 1013987478 NPPES
South Dakota Other 243580 MIDLAND'S CHOICE
South Dakota MEDICAID 5300492 MIDLAND'S CHOICE
South Dakota Other 9235848 MIDLAND'S CHOICE
South Dakota Other P00183707 MIDLAND'S CHOICE
South Dakota Other 01-18249 MIDLAND'S CHOICE
South Dakota Other 4995481 MIDLAND'S CHOICE
South Dakota Other AH1341033452 MIDLAND'S CHOICE
South Dakota Other S1639 MIDLAND'S CHOICE
South Dakota Other 1107619 MIDLAND'S CHOICE

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