Nicholas John Kolterman, C.PED
Individual provider Active NPI Specialist · Sioux Falls, SD
NPI 1013245679 · NPPES record last updated Jul 19, 2010
Key facts
- NPI
- 1013245679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- D00006 (SD)
- Practice address
- 810 E 23Rd St
Sioux Falls, SD 57105-2135 - Phone
- (605) 977-6845
- Fax
- (605) 332-5844
- NPI assigned
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00006 | SD | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D00006 | SD | Yes |
Addresses
Primary practice location
810 E 23Rd St
Sioux Falls, SD 57105-2135
Mailing address
810 E 23Rd St
Sioux Falls, SD 57105-2135
Phone (605) 977-6845
Other providers in Sioux Falls, SD
- Bryce Kolander
- Kelli Kolander
- Constance Elise Kolbrek
- Goutham Kolli
- Lisa M Kollis-Young
- Patrick Konda
- Samantha Lorraine Konechne
- Ewa A Konik
- Konstant Chiropractic Center
- Hilary Konstant
All providers in Sioux Falls, SD · Specialist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.