Malmberg, Kenric D
Malmberg, Kenric D is an individual health care provider with primary practice located at 400 22Nd Ave , Brookings SD 57006-2497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Malmberg, Kenric D can be contacted via phone (605) 697-9500.Contact Information
Primary practice address
400 22Nd Ave
Brookings SD 57006-2497
Phone: (605) 697-9500
Fax: (605) 697-6939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7340A | Wyoming |
Profile Details
| NPI number | 1376585885 |
|---|---|
| LBN Legal business name | Malmberg, Kenric D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jun 26th, 2014 - about 12 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 | 1376585885 | NPPES |
| South Dakota | MEDICAID | 5612920 | |
| South Dakota | Other | 4992950 |
Popular Providers
-
Hannemann, Kayla
400 22Nd Ave , Brookings SD 57006-2450 -
Lansang, Zoilo O
922 22Nd Ave S , Brookings SD 57006-2830 -
Warren, Merritt G.
400 22Nd Ave. , Brookings SD 57006-2497 -
Ellsworth, Andrew R
400 22Nd Ave , Brookings SD 57006-2497 -
Cook, Amy Christine
922 22Nd Ave S , Brookings SD 57006-2830 -
Wake, Richard A.
400 22Nd Ave. , Brookings SD 57006-2497 -
Babb, Terrence Elliott
400 22Nd Ave , Brookings SD 57006-2497 -
Wangsness, Christopher Eric
300 22Nd Ave , Brookings SD 57006-2480