Leir, Eileen Spellacy
Leir, Eileen Spellacy is an sole proprietor health care provider with primary practice located at 24 East New York , Rapid City SD 57701-2441. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Leir, Eileen Spellacy can be contacted via phone (605) 342-0504.Contact Information
Primary practice address
24 East New York
Rapid City SD 57701-2441
Phone: (605) 342-0504
Fax: (605) 348-0919
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1806 | South Dakota |
Profile Details
NPI number | 1104892785 |
---|---|
LBN Legal business name | Leir, Eileen Spellacy |
Credentials | CSW-PIP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 24th, 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 | 1104892785 | NPPES |
South Dakota | Other | 9233748 | DAKOTA CARE |
South Dakota | MEDICAID | 6571040 | DAKOTA CARE |
South Dakota | Other | 4995473 | DAKOTA CARE |
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