Haatvedt, Cy B

Haatvedt, Cy B is an individual health care provider with primary practice located at 455 Kansas Ave Se , Huron SD 57350-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haatvedt, Cy B can be contacted via phone (605) 352-8767.

Contact Information

Primary practice address
455 Kansas Ave Se Huron SD 57350-2522
Fax: (605) 352-8784
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3838 South Dakota

Profile Details

NPI number 1942205489
LBN Legal business name Haatvedt, Cy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Nov 3rd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942205489 NPPES
South Dakota Other 3838 DAKOTACARE
South Dakota Other 0003451 DAKOTACARE
South Dakota MEDICAID 7300560 DAKOTACARE
South Dakota Other 020026365 DAKOTACARE

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