Stellinga, Lisa Joan

Stellinga, Lisa Joan is an sole proprietor health care provider with primary practice located at 1500 S Sycamore Ave Ste 102 , Sioux Falls SD 57110-3711. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stellinga, Lisa Joan can be contacted via phone (605) 361-0114.

Contact Information

Primary practice address
1500 S Sycamore Ave Ste 102 Sioux Falls SD 57110-3711
Phone: (605) 361-0114
Fax: (605) 332-1723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1487654026
LBN Legal business name Stellinga, Lisa Joan
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Oct 12th, 2023 - about last year

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 1487654026 NPPES
South Dakota MEDICAID 6575540

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