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Contact Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
515 W HIGHWAY 46
WAGNER, SD57380
 Phone: 605-384-3661
 Fax: 605-384-3790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY · (Female)

NPI # 1649759499
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2018
Last updated 08/13/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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