Dagel, Lance Thomas

Dagel, Lance Thomas is an sole proprietor health care provider with primary practice located at 15 1St Ave Se , Watertown SD 57201-3612. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dagel, Lance Thomas can be contacted via phone (605) 753-7780.

Contact Information

Primary practice address
15 1St Ave Se Watertown SD 57201-3612
Fax: (605) 753-7881
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1051 South Dakota

Profile Details

NPI number 1154356483
LBN Legal business name Dagel, Lance Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Mar 4th, 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 1154356483 NPPES
South Dakota Other 4995017 BLUE CROSS BLUE SHIELD
South Dakota Other 115673 BLUE CROSS BLUE SHIELD
South Dakota MEDICAID 7602100 BLUE CROSS BLUE SHIELD
South Dakota Other 14143 BLUE CROSS BLUE SHIELD
South Dakota Other 41352 BLUE CROSS BLUE SHIELD
South Dakota Other 248014 BLUE CROSS BLUE SHIELD

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