Amdahl, Beth
Amdahl, Beth is an individual health care provider with primary practice located at 1310 W 22Nd St , Sioux Falls SD 57105-1501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amdahl, Beth can be contacted via phone (605) 782-2000.Contact Information
Primary practice address
1310 W 22Nd St
Sioux Falls SD 57105-1501
Phone: (605) 782-2000
Fax: (605) 782-2721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0217 | South Dakota |
Profile Details
| NPI number | 1831183011 |
|---|---|
| LBN Legal business name | Amdahl, Beth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1831183011 | NPPES |
| Iowa | MEDICAID | 1151472 | |
| Iowa | MEDICAID | 6820278 |
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