Liudahl, Jamie J

Liudahl, Jamie J is an individual health care provider with primary practice located at 100 Mac Lane , Pierre SD 57501-0758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Liudahl, Jamie J can be contacted via phone (605) 224-5901.

Contact Information

Primary practice address
100 Mac Lane Pierre SD 57501-0758
Phone: (605) 224-5901
Fax: (605) 945-5296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5660 South Dakota

Profile Details

NPI number 1548217987
LBN Legal business name Liudahl, Jamie J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548217987 NPPES
South Dakota MEDICAID 5608410

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