Provider Demographics
NPI:1851492284
Name:ADVANCED HEALTH CARE SOLUTIONS OF THE NORTHERN HILLS, PROF. LLC
Entity Type:Organization
Organization Name:ADVANCED HEALTH CARE SOLUTIONS OF THE NORTHERN HILLS, PROF. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KUYPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-341-4850
Mailing Address - Street 1:2024 JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-3481
Mailing Address - Country:US
Mailing Address - Phone:605-341-4850
Mailing Address - Fax:605-343-7955
Practice Address - Street 1:2024 JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-3481
Practice Address - Country:US
Practice Address - Phone:605-341-4850
Practice Address - Fax:605-341-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7601393Medicaid
SDU88168Medicare UPIN
SD7601393Medicaid