Sorestad, Myron P

Sorestad, Myron P is an individual health care provider with primary practice located at 4141 5Th St , Rapid City SD 57701-6021. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sorestad, Myron P can be contacted via phone (605) 399-9565.

Contact Information

Primary practice address
4141 5Th St Rapid City SD 57701-6021
Phone: (605) 399-9565
Fax: (605) 399-9584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0562 South Dakota

Profile Details

NPI number 1407815970
LBN Legal business name Sorestad, Myron P
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Dec 3rd, 2011 - about 13 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 1407815970 NPPES
South Dakota MEDICAID 5831210
South Dakota Other 0562
South Dakota Other 22924
South Dakota Other 4998878

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