Amdahl, Beth

Amdahl, Beth is an individual health care provider with primary practice located at 1310 W 22Nd St , Sioux Falls SD 57105-1501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amdahl, Beth can be contacted via phone (605) 782-2000.

Contact Information

Primary practice address
1310 W 22Nd St Sioux Falls SD 57105-1501
Phone: (605) 782-2000
Fax: (605) 782-2721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0217 South Dakota

Profile Details

NPI number 1831183011
LBN Legal business name Amdahl, Beth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831183011 NPPES
Iowa MEDICAID 1151472
Iowa MEDICAID 6820278

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