The Rehab Doctors Pc

LBN: The Rehab Doctors Pc
The Rehab Doctors Pc is an health care organization with primary practice located at 1136 Jackson Blvd Suite 3, Rapid City SD 57702-4397. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. The Rehab Doctors Pc can be contacted via phone (605) 721-7246, or through Dietrich, Christopher T via phone (605) 721-7246.

Contact Information

Primary practice address
1136 Jackson Blvd Suite 3 Rapid City SD 57702-4397
Fax: (605) 341-4501
Website:
Authorized official contact:
Name: Dietrich, Christopher T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5300141945007EUF001 South Dakota
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 5300141945007EUT001 South Dakota

Profile Details

NPI number 1932183308
LBN Legal business name The Rehab Doctors Pc
DBA Doing business as
Authorized official Dietrich, Christopher T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Sep 26th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932183308 NPPES
South Dakota Other 0006332 WELLMARK BCBS
South Dakota Other 9211582 WELLMARK BCBS
South Dakota Other CF8314 WELLMARK BCBS
South Dakota Other 139018000 WELLMARK BCBS
South Dakota Other 115322600 WELLMARK BCBS

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