Daiss, Clifford Gary
Daiss, Clifford Gary is an individual health care provider with primary practice located at 528 Quincy St , Rapid City SD 57701-3628. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Daiss, Clifford Gary can be contacted via phone (605) 348-5401.Contact Information
Primary practice address
528 Quincy St
Rapid City SD 57701-3628
Phone: (605) 348-5401
Fax: (605) 348-7319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1780 | South Dakota |
Profile Details
| NPI number | 1285653360 |
|---|---|
| LBN Legal business name | Daiss, Clifford Gary |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285653360 | NPPES |
| South Dakota | MEDICAID | 7100070 |
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