Sivesind, John Roy

Sivesind, John Roy is an individual health care provider with primary practice located at 107 W Broad Ave , Flandreau SD 57028. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sivesind, John Roy can be contacted via phone (605) 997-2640.

Contact Information

Primary practice address
107 W Broad Ave Flandreau SD 57028
Phone: (605) 997-2640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 283 South Dakota

Profile Details

NPI number 1689865081
LBN Legal business name Sivesind, John Roy
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Aug 9th, 2007 - about 19 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 1689865081 NPPES
South Dakota MEDICAID 5546010

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