Allen, Shirley B

Allen, Shirley B is an sole proprietor health care provider with primary practice located at 4110 Winfield Ct , Rapid City SD 57701-8306. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Allen, Shirley B can be contacted via phone (605) 415-0792.

Contact Information

Primary practice address
4110 Winfield Ct Rapid City SD 57701-8306
Phone: (605) 415-0792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1740790765
LBN Legal business name Allen, Shirley B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2017
Last updated Jun 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740790765 NPPES
South Dakota Other 82-2789782 DEPTPARTMENT OF TREASURY
South Dakota Other DL137092 DEPTPARTMENT OF TREASURY

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