Christiansen, Matthew D

Christiansen, Matthew D is an individual health care provider with primary practice located at 910 W Havens Street Dakota Counseling Institute, Mitchell SD 57301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Christiansen, Matthew D can be contacted via phone (605) 996-9689.

Contact Information

Primary practice address
910 W Havens Street Dakota Counseling Institute Mitchell SD 57301
Phone: (605) 996-9689
Fax: (605) 996-1624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 488 South Dakota

Profile Details

NPI number 1639136088
LBN Legal business name Christiansen, Matthew D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 19th, 2010 - about 16 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 1639136088 NPPES
South Dakota Other 33171 SIOUX VALLEY HEALTH
South Dakota Other 9189 SIOUX VALLEY HEALTH
South Dakota MEDICAID 91400318 SIOUX VALLEY HEALTH
South Dakota Other SD449 SIOUX VALLEY HEALTH
South Dakota Other 4995782 SIOUX VALLEY HEALTH

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