Daffer, Michelle L

Daffer, Michelle L is an individual health care provider with primary practice located at 705 Sioux Point Rd Suite 100, Dakota Dunes SD 57049-5091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Daffer, Michelle L can be contacted via phone (605) 217-5500.

Contact Information

Primary practice address
705 Sioux Point Rd Suite 100 Dakota Dunes SD 57049-5091
Fax: (605) 217-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5461 South Dakota

Profile Details

NPI number 1396711867
LBN Legal business name Daffer, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 22nd, 2010 - about 15 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 1396711867 NPPES
South Dakota Other 000166004 RR MEDICARE
South Dakota Other I12538 RR MEDICARE
South Dakota Other 0442046 RR MEDICARE
South Dakota MEDICAID 5900470 RR MEDICARE

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