Mikkelsen, Beth A
Mikkelsen, Beth A is an individual health care provider with primary practice located at 1104 W 8Th St , Yankton SD 57078-3306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mikkelsen, Beth A can be contacted via phone (605) 665-7841.Contact Information
Primary practice address
1104 W 8Th St
Yankton SD 57078-3306
Phone: (605) 665-7841
Fax: (605) 665-0546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1759 | South Dakota |
Profile Details
| NPI number | 1629079512 |
|---|---|
| LBN Legal business name | Mikkelsen, Beth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | May 14th, 2010 - about 15 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 | 1629079512 | NPPES |
| South Dakota | MEDICAID | 5610700 |
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