Nissen, David
Nissen, David is an sole proprietor health care provider with primary practice located at 908 N West Ave , Sioux Falls SD 57104-5722. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Nissen, David can be contacted via phone (605) 367-4293.Contact Information
Primary practice address
908 N West Ave
Sioux Falls SD 57104-5722
Phone: (605) 367-4293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1841413234 |
|---|---|
| LBN Legal business name | Nissen, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| 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 | 1841413234 | NPPES |
| South Dakota | MEDICAID | 5180100 |
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