Franklin Bult

Individual provider Active NPI Radiography Radiologic Technologist · Sioux Falls, SD

NPI 1104240217 · NPPES record last updated Feb 10, 2014

Key facts

NPI
1104240217
Entity type
Individual (NPI type 1)
Primary specialty
Radiography Radiologic Technologist 2471C3402X
License
2471S1302X (SD)
Practice address
6709 S Minnesota Ave Ste 203
Sioux Falls, SD 57108-2593
Phone
(605) 520-2247
Fax
(605) 274-0620
NPI assigned
Feb 10, 2014
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

LicenseStateTypeSpecialty
2471S1302XSDMDSonography Radiologic Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 2471S1302X SD Yes

Addresses

Primary practice location

6709 S Minnesota Ave Ste 203
Sioux Falls, SD 57108-2593

Mailing address

6709 S Minnesota Ave Ste 203
Sioux Falls, SD 57108-2593
Phone (605) 520-2247

Other identifiers

IdentifierTypeStateIssuer
071747OtherSDARRT

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Radiography Radiologic Technologist in South Dakota

Sources for this page

Verify at the official NPI Registry.