Ellerbusch, David A
Ellerbusch, David A is an individual health care provider with primary practice located at 600 N Sycamore Ave , Sioux Falls SD 57110-5745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellerbusch, David A can be contacted via phone (605) 328-2999.Contact Information
Primary practice address
600 N Sycamore Ave
Sioux Falls SD 57110-5745
Phone: (605) 328-2999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1514 | South Dakota |
Profile Details
| NPI number | 1972507713 |
|---|---|
| LBN Legal business name | Ellerbusch, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | May 8th, 2008 - about 16 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 | 1972507713 | NPPES |
| South Dakota | MEDICAID | 5603853 |
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