Basic Information
Provider Information | |||||||||
NPI: | 1902251051 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ROHLFS | ||||||||
FirstName: | KARSTEN | ||||||||
MiddleName: | JON | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1115 E 20TH ST | ||||||||
Address2: |   | ||||||||
City: | SIOUX FALLS | ||||||||
State: | SD | ||||||||
PostalCode: | 571051013 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6055751644 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 400 N HIAWATHA DR | ||||||||
Address2: |   | ||||||||
City: | CANTON | ||||||||
State: | SD | ||||||||
PostalCode: | 570135800 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6057641500 | ||||||||
FaxNumber: | 6057641501 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/26/2016 | ||||||||
LastUpdateDate: | 03/25/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 03/25/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 11617 | SD | Y |   | Allopathic & Osteopathic Physicians | Family Medicine |   |
No ID Information.