Quast, Lynette Rae

Quast, Lynette Rae is an individual health care provider with primary practice located at 1818 W Fulton St Ste. 201, Rapid City SD 57702-4377. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Quast, Lynette Rae can be contacted via phone (605) 348-6500.

Contact Information

Primary practice address
1818 W Fulton St Ste. 201 Rapid City SD 57702-4377
Phone: (605) 348-6500
Fax: (605) 341-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 460 South Dakota

Profile Details

NPI number 1497735914
LBN Legal business name Quast, Lynette Rae
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497735914 NPPES
South Dakota MEDICAID 6552310

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