Individual
SHELBY EISCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939
Mailing address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47323
MN
207Q00000X
Family Medicine Physician
Primary
7820
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008H4EI
MNBS #
MN
01
—
008H6EI
MNBS #
MN
01
—
0121770
MEDICA #
MN
01
—
0123434
MEDICA #
MN
01
—
0123435
MEDICA #
MN
01
—
09829ME
MNBS #
MN
01
—
137007
UCARE #
MN
01
—
2052390
AMERICA'S PPO/ARAZ #
MN
01
—
26009
NDBS #
MN
05
—
382170600
—
MN
01
—
45610
LHS/BANNERHEALTH #
MN
01
—
DA9041044891
PREFERRED ONE #
MN
01
—
HP55906
HEALTHPARTNERS #
MN
Enumeration date
06/20/2006
Last updated
08/09/2010
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