Makgabenyana, Boitumelo Gertrude
Makgabenyana, Boitumelo Gertrude is an individual health care provider with primary practice located at 123 19Th St Ne , Watertown SD 57201. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Makgabenyana, Boitumelo Gertrude can be contacted via phone (605) 886-0123.Contact Information
Primary practice address
123 19Th St Ne
Watertown SD 57201
Phone: (605) 886-0123
Fax: (605) 886-5447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1225221591 |
|---|---|
| LBN Legal business name | Makgabenyana, Boitumelo Gertrude |
| Credentials | MA CLINICAL MENTAL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225221591 | NPPES |
| South Dakota | MEDICAID | 5200010 |
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