Diehl, Amanda N

Diehl, Amanda N is an individual health care provider with primary practice located at 350 Pine St , Rapid City SD 57701-1669. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Diehl, Amanda N can be contacted via phone (605) 721-8939.

Contact Information

Primary practice address
350 Pine St Rapid City SD 57701-1669
Phone: (605) 721-8939
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4739 South Dakota

Profile Details

NPI number 1982793725
LBN Legal business name Diehl, Amanda N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 1st, 2015 - about 10 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 1982793725 NPPES
South Dakota Other 4993484 WELLMARK
South Dakota MEDICAID 6700463 WELLMARK
South Dakota MEDICAID 6700462 WELLMARK
South Dakota Other 9213203 WELLMARK

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