Basic Information
Provider Information
NPI: 1992785737
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEICH
FirstName: LEONARD
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 525 N FOSTER ST
Address2:  
City: MITCHELL
State: SD
PostalCode: 573012966
CountryCode: US
TelephoneNumber: 6059952000
FaxNumber:  
Practice Location
Address1: 525 N FOSTER ST
Address2:  
City: MITCHELL
State: SD
PostalCode: 573012966
CountryCode: US
TelephoneNumber: 6059952000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/18/2006
LastUpdateDate: 03/01/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X0314SDY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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