Gerlach, Renae Leah

Gerlach, Renae Leah is an individual health care provider with primary practice located at 2100 Highland Way Ste K , Mitchell SD 57301-6409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gerlach, Renae Leah can be contacted via phone (605) 996-0440.

Contact Information

Primary practice address
2100 Highland Way Ste K Mitchell SD 57301-6409
Phone: (605) 996-0440
Fax: (605) 996-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0641 South Dakota

Profile Details

NPI number 1881745016
LBN Legal business name Gerlach, Renae Leah
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Apr 18th, 2022 - about 3 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 1881745016 NPPES
South Dakota Other 0641 STATE LICENSE

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