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Contact Information

STATE OF SOUTH DAKOTA DIVISION OF OASI
2905 FIFTH STREET
RAPID CITY, SD57701
 Phone: 605-394-2528
 Fax: 605-394-5151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STATE OF SOUTH DAKOTA DIVISION OF OASI · (Female)

NPI # 1689695397
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2006
Last updated 07/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SD Medicaid 5400140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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