Little Dog, Ross Dean

Little Dog, Ross Dean is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Little Dog, Ross Dean can be contacted via phone (605) 355-2213.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2213
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1871824730
LBN Legal business name Little Dog, Ross Dean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2010
Last updated Jan 15th, 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 1871824730 NPPES
South Dakota MEDICAID 0140070
South Dakota MEDICAID 5549050

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