Wheaton, Michael Edward

Wheaton, Michael Edward is an individual health care provider with primary practice located at 2525 W Main St Ste 214 , Rapid City SD 57702-2439. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wheaton, Michael Edward can be contacted via phone (605) 988-8122.

Contact Information

Primary practice address
2525 W Main St Ste 214 Rapid City SD 57702-2439
Phone: (605) 988-8122
Fax: (605) 988-8141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT1212 South Dakota

Profile Details

NPI number 1417384587
LBN Legal business name Wheaton, Michael Edward
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2013
Last updated Apr 12th, 2021 - about 4 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 1417384587 NPPES
South Dakota MEDICAID 6573480

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