Healthcare Provider Details

I. General information

NPI: 1558275792
Provider Name (Legal Business Name): JAKOB DOBNEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

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

6140 S CURAE LN
SIOUX FALLS SD
57108-6090
US

IV. Provider business mailing address

6401 S CONNIE AVE APT 318
SIOUX FALLS SD
57108-5743
US

V. Phone/Fax

Practice location:
  • Phone: 605-604-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: