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Contact Information

ROBERT C DOUVILLE II, RN
HWY 34 & 47
FORT THOMPSON, SD57339-0200
 Phone: 605-245-2283
 Fax: 605-245-2150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for ROBERT C DOUVILLE II · (Male)

NPI # 1740398312
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/25/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SD License # R-025435
  • SD Medicaid 5549010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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