Amanda Whelchel, LAC, MS
Individual provider Active NPI Specialist · Sturgis, SD
NPI 1972056356 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1972056356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 15031687 (SD)
- Practice address
- 1807 Williams St
Sturgis, SD 57785-1142 - Phone
- (605) 347-3003
- Fax
- (605) 347-4944
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15031687 | SD | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15031687 | SD | Yes |
Addresses
Primary practice location
1807 Williams St
Sturgis, SD 57785-1142
Mailing address
1807 Williams St
Sturgis, SD 57785-1142
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466036107 | Medicaid | SD |
Other providers in Sturgis, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.