Provider Demographics
NPI:1659946002
Name:PINKELMAN, ALENA DIANN (PA-C)
Entity Type:Individual
Prefix:
First Name:ALENA
Middle Name:DIANN
Last Name:PINKELMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 CORNELL ST APT 214
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-1793
Mailing Address - Country:US
Mailing Address - Phone:605-999-4406
Mailing Address - Fax:
Practice Address - Street 1:101 S FRONT ST STE 1
Practice Address - Street 2:
Practice Address - City:CHAMBERLAIN
Practice Address - State:SD
Practice Address - Zip Code:57325-1619
Practice Address - Country:US
Practice Address - Phone:605-234-6584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant