Ziegeldorf, Lisa A
Ziegeldorf, Lisa A is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ziegeldorf, Lisa A can be contacted via phone (605) 333-1000.Contact Information
Primary practice address
1305 W 18Th St
Sioux Falls SD 57105-0401
Phone: (605) 333-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0239 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP000239 | South Dakota |
Profile Details
| NPI number | 1982678264 |
|---|---|
| LBN Legal business name | Ziegeldorf, Lisa A |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jun 10th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982678264 | NPPES |
| South Dakota | MEDICAID | 6823930 |
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