Healthcare Provider Details

I. General information

NPI: 1912801168
Provider Name (Legal Business Name): DANIEL W EKBERG ACT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 6TH ST STE B
BROOKINGS SD
57006-2377
US

IV. Provider business mailing address

6140 S CURAE LN
SIOUX FALLS SD
57108-6090
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: