Spicero, Constance L

Spicero, Constance L is an individual health care provider with primary practice located at 4400 W 69Th St Ste 1500, Sioux Falls SD 57108-8170. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spicero, Constance L can be contacted via phone (605) 322-5700.

Contact Information

Primary practice address
4400 W 69Th St Ste 1500 Sioux Falls SD 57108-8170
Phone: (605) 322-5700
Fax: (605) 322-5704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 307 South Dakota

Profile Details

NPI number 1295708741
LBN Legal business name Spicero, Constance L
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 11th, 2013 - about 13 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 1295708741 NPPES
North Dakota MEDICAID 12200
North Dakota Other 680015315
North Dakota Other 0040483
North Dakota Other 10666
North Dakota MEDICAID 1958108
North Dakota MEDICAID 46022474352
North Dakota MEDICAID 901553100
North Dakota Other HP41055
North Dakota Other 142413
North Dakota Other 25059
North Dakota Other P307
North Dakota Other 140M9SP
North Dakota MEDICAID 2633225
North Dakota Other 28561
North Dakota Other 57108C007
North Dakota Other 412991028160

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