Provider Demographics
NPI:1285725580
Name:MEHLHAF, DUANE C (DC)
Entity type:Individual
Prefix:DR
First Name:DUANE
Middle Name:C
Last Name:MEHLHAF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-3075
Mailing Address - Country:US
Mailing Address - Phone:605-624-8805
Mailing Address - Fax:
Practice Address - Street 1:9 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-3075
Practice Address - Country:US
Practice Address - Phone:605-624-8805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
914OtherMIDLANDS
SD0085700OtherBCBS
SD22283OtherSIOUX VALLEY HEALTH
SD7602850Medicaid
1755OtherAVERA
SD7602850Medicaid
SD0085700OtherBCBS