Mutschelknaus, Ashley

Mutschelknaus, Ashley is an sole proprietor health care provider with primary practice located at 910 22Nd Ave S , Brookings SD 57006-2830. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mutschelknaus, Ashley can be contacted via phone (605) 692-8881.

Contact Information

Primary practice address
910 22Nd Ave S Brookings SD 57006-2830
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5680 South Dakota

Profile Details

NPI number 1407230220
LBN Legal business name Mutschelknaus, Ashley
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2015
Last updated Jul 10th, 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 1407230220 NPPES
South Dakota MEDICAID 8502790
South Dakota Other 4353126

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