Dally, Wanda Jean

Dally, Wanda Jean is an individual health care provider with primary practice located at 111 Washington Ave Nw , Wagner SD 57380. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as her primary health care specialty. Dally, Wanda Jean can be contacted via phone (605) 384-3621.

Contact Information

Primary practice address
111 Washington Ave Nw Wagner SD 57380
Phone: (605) 384-3621
Fax: (605) 384-3293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X 185598 South Dakota

Profile Details

NPI number 1740497775
LBN Legal business name Dally, Wanda Jean
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740497775 NPPES
South Dakota MEDICAID 5540100
South Dakota MEDICAID 5540030

Popular Providers