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Contact Information

COLLEEN R PERMANN
111 WASHINGTON AVE NW
WAGNER, SD57380-0111
 Phone: 605-384-3621
 Fax: 605-384-3293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for COLLEEN R PERMANN · (Female)

NPI # 1588805816
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2009
Last updated 03/17/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 018585
  • SD Medicaid 5540030
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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