JENNA M DORMANN, PA-C, Medical RAPID CITY, SD

Contact Information

JENNA M DORMANN, PA-C

2822 JACKSON BLVD
SUITE 101
RAPID CITY, SD 57702-3497

Phone: 605-341-1208
Fax: 605-341-3552
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JENNA M DORMANN · (Female)

NPI Number	`1699838920`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	12/18/2006
Last updated	01/14/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	SD License # 0614 SD Medicaid 6828382 SD Other 0001972 WELLMARK
Hospital affiliation(s)	RAPID CITY REGIONAL HOSPITAL - (Acute Care) 353 FAIRMONT BLVD POST OFFICE BOX 6000 RAPID CITY, SD 57701

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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JENNA M DORMANN, PA-C – NPI #1699838920Medical

Contact Information

Specialty

Medical

NPI Profile & details for JENNA M DORMANN · (Female)

Reviews for JENNA M DORMANN

JENNA M DORMANN, PA-C – NPI #1699838920
Medical