Gompert-Funk, Rebecca

Gompert-Funk, Rebecca is an individual health care provider with primary practice located at 3303 Roughlock Ln , Spearfish SD 57783-9592. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gompert-Funk, Rebecca can be contacted via phone (605) 645-0141.

Contact Information

Primary practice address
3303 Roughlock Ln Spearfish SD 57783-9592
Phone: (605) 645-0141
Fax: (605) 645-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC951 South Dakota

Profile Details

NPI number 1790900835
LBN Legal business name Gompert-Funk, Rebecca
Credentials LPC-MH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Apr 7th, 2008 - about 18 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 1790900835 NPPES
South Dakota Other 4995828 BLUE CROSS/BLUE SHIELD

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