Hayman, Susan Chamberlain
Hayman, Susan Chamberlain is an individual health care provider with primary practice located at 2404 Jackson Blvd , Rapid City SD 57702-3450. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hayman, Susan Chamberlain can be contacted via phone (605) 737-0769.Contact Information
Primary practice address
2404 Jackson Blvd
Rapid City SD 57702-3450
Phone: (605) 737-0769
Fax: (605) 721-1196
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-MH 2081 | South Dakota |
Profile Details
NPI number | 1104890144 |
---|---|
LBN Legal business name | Hayman, Susan Chamberlain |
Credentials | MS LPC-MH QMHP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 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 | 1104890144 | NPPES |
South Dakota | Other | 4997001 | BLUE CROSS/BLUE SHIELD |
South Dakota | MEDICAID | 6575560 | BLUE CROSS/BLUE SHIELD |
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