Healthcare Provider Details

I. General information

NPI: 1396655049
Provider Name (Legal Business Name): SEAN CIHAK NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 MAPLE ST
AVON SD
57315-2127
US

IV. Provider business mailing address

308 MAPLE ST
AVON SD
57315-2127
US

V. Phone/Fax

Practice location:
  • Phone: 605-491-2061
  • Fax:
Mailing address:
  • Phone: 605-491-2061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License NumberR043703
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: