Provider Demographics
NPI:1316615768
Name:ELI, SINZINKAYO
Entity type:Individual
Prefix:
First Name:SINZINKAYO
Middle Name:
Last Name:ELI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-3528
Mailing Address - Country:US
Mailing Address - Phone:605-323-9002
Mailing Address - Fax:
Practice Address - Street 1:4329 N ALASKA AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57107-6825
Practice Address - Country:US
Practice Address - Phone:605-323-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker