Gilbertson, Jackie

Gilbertson, Jackie is an sole proprietor health care provider with primary practice located at 623 Quincy St Suite 102, Rapid City SD 57701-8231. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gilbertson, Jackie can be contacted via phone (605) 430-6364.

Contact Information

Primary practice address
623 Quincy St Suite 102 Rapid City SD 57701-8231
Phone: (605) 430-6364
Fax: (605) 716-9491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 276 SD South Dakota

Profile Details

NPI number 1952380289
LBN Legal business name Gilbertson, Jackie
Credentials LICENSED PSYCHOLOGIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Sep 11th, 2012 - about 14 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 1952380289 NPPES
South Dakota MEDICAID 6551113

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