Schaefer, Mary K

Schaefer, Mary K 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. Schaefer, Mary K can be contacted via phone (605) 928-7961.

Contact Information

Primary practice address
401 W Glynn Dr Parkston SD 57366-9605
Phone: (605) 928-7961
Fax: (605) 928-7368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0388 South Dakota

Profile Details

NPI number 1093706616
LBN Legal business name Schaefer, Mary K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 9th, 2012 - about 14 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 1093706616 NPPES
South Dakota Other 0007354 WELLMARK PARKSTON
South Dakota Other 4997644 WELLMARK PARKSTON
South Dakota Other 4997652 WELLMARK PARKSTON
South Dakota MEDICAID 5340340 WELLMARK PARKSTON
South Dakota Other 9247664 WELLMARK PARKSTON
South Dakota MEDICAID 5340070 WELLMARK PARKSTON
South Dakota MEDICAID 6821750 WELLMARK PARKSTON

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