Colleran, Michael J.

Colleran, Michael J. is an individual health care provider with primary practice located at 633 E Sioux Ave , Pierre SD 57501-3368. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Colleran, Michael J. can be contacted via phone (605) 224-8848.

Contact Information

Primary practice address
633 E Sioux Ave Pierre SD 57501-3368
Phone: (605) 224-8848
Fax: (605) 224-7870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 33001460445192EUT001 South Dakota

Profile Details

NPI number 1912904400
LBN Legal business name Colleran, Michael J.
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 9th, 2007 - about 19 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 1912904400 NPPES
South Dakota MEDICAID 58301321

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