Leir, Eileen Spellacy

Leir, Eileen Spellacy is an sole proprietor health care provider with primary practice located at 24 East New York , Rapid City SD 57701-2441. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Leir, Eileen Spellacy can be contacted via phone (605) 342-0504.

Contact Information

Primary practice address
24 East New York Rapid City SD 57701-2441
Phone: (605) 342-0504
Fax: (605) 348-0919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1806 South Dakota

Profile Details

NPI number 1104892785
LBN Legal business name Leir, Eileen Spellacy
Credentials CSW-PIP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 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 1104892785 NPPES
South Dakota Other 9233748 DAKOTA CARE
South Dakota MEDICAID 6571040 DAKOTA CARE
South Dakota Other 4995473 DAKOTA CARE

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