Bockwoldt, James L

Bockwoldt, James L is an sole proprietor health care provider with primary practice located at 2620 Jackson Blvd Suite B, Rapid City SD 57702-1502. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bockwoldt, James L can be contacted via phone (605) 348-1712.

Contact Information

Primary practice address
2620 Jackson Blvd Suite B Rapid City SD 57702-1502
Phone: (605) 348-1712
Fax: (605) 716-7529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M636 South Dakota

Profile Details

NPI number 1437245586
LBN Legal business name Bockwoldt, James L
Credentials DDS, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 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 1437245586 NPPES
South Dakota MEDICAID 7809990
South Dakota Other 785779

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