Provider Demographics
NPI:1164599874
Name:STUDELSKA INC
Entity Type:Organization
Organization Name:STUDELSKA INC
Other - Org Name:STUDELSKA CHIROPRACTIC & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STUDELSKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-996-0191
Mailing Address - Street 1:PO BOX 923
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-0923
Mailing Address - Country:US
Mailing Address - Phone:605-996-0191
Mailing Address - Fax:
Practice Address - Street 1:950 COMMERCE ST.
Practice Address - Street 2:SUITE 102
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301
Practice Address - Country:US
Practice Address - Phone:605-996-0191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7601373Medicaid
SD0040923OtherBLUE CROSS BLUE SHIELD
SD28032OtherSIOUX VALLEY
SD101314Medicare PIN
SD28032OtherSIOUX VALLEY