Bofenkamp, Stewart P.

Bofenkamp, Stewart P. is an individual health care provider with primary practice located at 1310 W 22Nd St , Sioux Falls SD 57105-1501. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Bofenkamp, Stewart P. can be contacted via phone (605) 328-8200.

Contact Information

Primary practice address
1310 W 22Nd St Sioux Falls SD 57105-1501
Phone: (605) 328-8200
Fax: (605) 328-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5 South Dakota

Profile Details

NPI number 1861497000
LBN Legal business name Bofenkamp, Stewart P.
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated May 8th, 2008 - about 17 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 1861497000 NPPES
South Dakota MEDICAID 5832902

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