Medeck, Jonathan Dean

Medeck, Jonathan Dean is an individual health care provider with primary practice located at 710 Saint Anne Street , Rapid City SD 57701-4670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Medeck, Jonathan Dean can be contacted via phone (605) 343-8000.

Contact Information

Primary practice address
710 Saint Anne Street Rapid City SD 57701-4670
Phone: (605) 343-8000
Fax: (605) 343-8262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0361 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0361 South Dakota

Profile Details

NPI number 1467426387
LBN Legal business name Medeck, Jonathan Dean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 2nd, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467426387 NPPES
South Dakota Other 070013292 RAILROAD MEDICARE
South Dakota MEDICAID 6826630 RAILROAD MEDICARE

Popular Providers