Belisle, Roger H

Belisle, Roger H is an sole proprietor health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Belisle, Roger H can be contacted via phone (605) 385-3656.

Contact Information

Primary practice address
2900 Doolittle Dr Ellsworth Afb SD 57706-4821
Phone: (605) 385-3656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 577 South Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004580 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 36625 Texas
Behavioral Health & Social Service Providers / Forensic 103TF0200X 577
Behavioral Health & Social Service Providers / Forensic 103TF0200X 0810004580 Virginia
Behavioral Health & Social Service Providers / Forensic 103TF0200X 36625 Texas
Behavioral Health & Social Service Providers / Forensic 103TF0200X 577 South Dakota
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1396047270
LBN Legal business name Belisle, Roger H
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2010
Last updated Jul 25th, 2023 - about 2 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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