Vandeberg, Kevin

Vandeberg, Kevin is an individual health care provider with primary practice located at 2821 S Center Ave , Sioux Falls SD 57105-4817. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vandeberg, Kevin can be contacted via phone (605) 335-0880.

Contact Information

Primary practice address
2821 S Center Ave Sioux Falls SD 57105-4817
Phone: (605) 335-0880
Fax: (605) 335-8506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 583 South Dakota

Profile Details

NPI number 1740276252
LBN Legal business name Vandeberg, Kevin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 26th, 2011 - about 15 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 1740276252 NPPES
South Dakota Other P00086916 RAILROAD MEDICARE PTAN
South Dakota MEDICAID 7602052 RAILROAD MEDICARE PTAN

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