Organization
BETTY ELBERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY ELBERS (SOLE OWNER)
(605) 334-3813
Entity
Organization
Contact information
Practice address
26625 TUCKER DR, BRANDON, SD 57005-7209
(605) 334-3813
Mailing address
26625 TUCKER DR, BRANDON, SD 57005-7209
(605) 334-3813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0776750001
MED. PROVIDER NUMBER
—
01
—
1497832679
NPI NUMBER
MN
Enumeration date
11/01/2006
Last updated
08/03/2009
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