Leisure, Pamela Gayle
Leisure, Pamela Gayle is an individual health care provider with primary practice located at 123 19Th St Ne , Watertown SD 57201-2823. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Leisure, Pamela Gayle can be contacted via phone (605) 886-0123.Contact Information
Primary practice address
123 19Th St Ne
Watertown SD 57201-2823
Phone: (605) 886-0123
Fax: (605) 886-5447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 03071158 | South Dakota |
Profile Details
| NPI number | 1356337760 |
|---|---|
| LBN Legal business name | Leisure, Pamela Gayle |
| Credentials | CCDC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| 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 | 1356337760 | NPPES |
| Other | 23593 | ICADC |
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