Individual
LINDSEY MARIE SIVERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1605 MAIN ST., TYNDALL, SD 57066
(605) 384-5419
(605) 384-5410
Mailing address
40977 277TH ST, PARKSTON, SD 57366-5622
(605) 661-9639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1243
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S108034
MEDICARE PTAN
SD
Enumeration date
12/09/2013
Last updated
10/27/2014
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