Provider Demographics
NPI:1760824940
Name:HELBIG, ALEXANDER (AUD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:HELBIG
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:HELBIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:633 E SIOUX AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-3368
Mailing Address - Country:US
Mailing Address - Phone:605-224-8848
Mailing Address - Fax:605-224-7870
Practice Address - Street 1:633 E SIOUX AVE
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-3368
Practice Address - Country:US
Practice Address - Phone:605-224-8848
Practice Address - Fax:605-224-7870
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD426A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5830132Medicaid
SD5830592Medicaid
SD5830132Medicaid
SD68002Medicare UPIN
SD5830592Medicaid