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Contact Information

SUSAN K ELEESON INC
47143 299TH ST
BERESFORD, SD57004
 Phone: 605-351-5826
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN K ELEESON INC

NPI # 1275903312
LBN Legal business name SUSAN K ELEESON INC
Authorized official SUSAN ELEESON - (CEO/LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2015
Last updated 02/01/2024 - About 2 years ago
Identifiers
SD License # 399
SD Medicaid 1568417657
SD Other S107742 PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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