Dewald, Dean A
Dewald, Dean A is an individual health care provider with primary practice located at 1100 E 26Th St , Sioux Falls SD 57105-4023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dewald, Dean A can be contacted via phone (605) 338-7098.Contact Information
Primary practice address
1100 E 26Th St
Sioux Falls SD 57105-4023
Phone: (605) 338-7098
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 47320 | South Dakota |
Profile Details
| NPI number | 1972576023 |
|---|---|
| LBN Legal business name | Dewald, Dean A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | May 12th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972576023 | NPPES |
| South Dakota | Other | 4993021 | BLUE CROSS |
| South Dakota | Other | 456D9DE | BLUE CROSS |
| South Dakota | MEDICAID | 5707290 | BLUE CROSS |
| South Dakota | MEDICAID | 642697200 | BLUE CROSS |
| South Dakota | MEDICAID | S101893 | BLUE CROSS |
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