Gilbertson, Jackie
Gilbertson, Jackie is an sole proprietor health care provider with primary practice located at 623 Quincy St Suite 102, Rapid City SD 57701-8231. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gilbertson, Jackie can be contacted via phone (605) 430-6364.Contact Information
Primary practice address
623 Quincy St Suite 102
Rapid City SD 57701-8231
Phone: (605) 430-6364
Fax: (605) 716-9491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 276 SD | South Dakota |
Profile Details
| NPI number | 1952380289 |
|---|---|
| LBN Legal business name | Gilbertson, Jackie |
| Credentials | LICENSED PSYCHOLOGIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Sep 11th, 2012 - about 12 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 | 1952380289 | NPPES |
| South Dakota | MEDICAID | 6551113 |
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