Mortinsen, Roy L

Mortinsen, Roy L is an individual health care provider with primary practice located at 20 S Plum St , Vermillion SD 57069-3346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mortinsen, Roy L can be contacted via phone (605) 624-9111.

Contact Information

Primary practice address
20 S Plum St Vermillion SD 57069-3346
Phone: (605) 624-9111
Fax: (605) 624-6636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5066 South Dakota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5066 South Dakota

Profile Details

NPI number 1417954918
LBN Legal business name Mortinsen, Roy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 25th, 2022 - about 4 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 1417954918 NPPES
South Dakota MEDICAID 5611220

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