Provider Demographics
NPI:1376146613
Name:SCHLICHTING, BELINDA S
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:S
Last Name:SCHLICHTING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-5738
Mailing Address - Country:US
Mailing Address - Phone:701-300-2627
Mailing Address - Fax:
Practice Address - Street 1:227 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-5738
Practice Address - Country:US
Practice Address - Phone:701-300-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant