Independent Medicine Prof LLC
Independent Medicine Prof LLC is an Internal Medicine Physician in Estelline, South Dakota. Licensed in South Dakota. Registered with an NPI since 2010.
- Licensed in
- SD
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
204 E Lake DrEstelline, SD 57234-6615
Phone: (605) 873-2133
Fax: (605) 873-2133
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 6055 (SD) |
|---|
Record details
| NPI number | 1740590413 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Annette Bosworth — President/Ceo · (605) 371-6899 |
| NPI enumerated | October 15, 2010 |
| Last updated in NPPES | June 21, 2011 |
| Mailing address | 204 E Lake Dr, Estelline, SD 57234-6615 |