Rystrom, Heather Ann

Rystrom, Heather Ann is an sole proprietor health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rystrom, Heather Ann can be contacted via phone (605) 385-6700.

Contact Information

Primary practice address
2900 Doolittle Dr Ellsworth Afb SD 57706-4821
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3374 South Dakota

Profile Details

NPI number 1740845650
LBN Legal business name Rystrom, Heather Ann
Credentials CSW-PIP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2019
Last updated Jul 25th, 2023 - about 3 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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