Herrboldt, Todd Wayne
Herrboldt, Todd Wayne is an individual health care provider with primary practice located at 2210 W Brown Pl , Sioux Falls SD 57105-6582. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Herrboldt, Todd Wayne can be contacted via phone (605) 336-1974.Contact Information
Primary practice address
2210 W Brown Pl
Sioux Falls SD 57105-6582
Phone: (605) 336-1974
Fax: (605) 336-9031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1144376567 |
|---|---|
| LBN Legal business name | Herrboldt, Todd Wayne |
| Credentials | CSW-PIP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 14th, 2012 - about 13 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 | 1144376567 | NPPES |
| South Dakota | MEDICAID | 6570570 |
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