NPI 1467685461 · live from the CMS NPI Registry
Child And Adolescent Neurology Prof LLC
Psychiatry & Neurology, Neurology in Sioux Falls, SD. National Provider Identifier 1467685461, active.
NPI record
| NPI | 1467685461 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 117 W 39th St, Sioux Falls, SD 57105 |
| Practice phone | 605-334-8000 |
| Mailing address | Po Box 89432, Sioux Falls, SD 57109 |
| Enumerated | August 25, 2009 |
| Last updated | July 30, 2015 |
| Authorized official | Jorge Sanchez, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.