Backer, Dawn Lynette
Backer, Dawn Lynette is an sole proprietor health care provider with primary practice located at 2900 W 11Th St Suite 101, Sioux Falls SD 57104-2589. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Backer, Dawn Lynette can be contacted via phone (605) 367-5260.Contact Information
Primary practice address
2900 W 11Th St Suite 101
Sioux Falls SD 57104-2589
Phone: (605) 367-5260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 4490 | South Dakota |
Profile Details
| NPI number | 1760646756 |
|---|---|
| LBN Legal business name | Backer, Dawn Lynette |
| Credentials | CLVT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2008 |
| Last updated | Jul 18th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760646756 | NPPES |
| South Dakota | MEDICAID | 1174785992 |
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