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Contact Information

VICKI L THALER, RN
111 WASHINGTON AVE NW
WAGNER, SD57380
 Phone: 605-384-3621
 Fax: 605-384-3293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for VICKI L THALER · (Female)

NPI Number 1104033000
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/17/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SD License # R019249
  • SD Medicaid 5540030
  • SD Medicaid 5540100
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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