Permann, Colleen R

Permann, Colleen R is an individual health care provider with primary practice located at 111 Washington Ave Nw , Wagner SD 57380-0111. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Permann, Colleen R can be contacted via phone (605) 384-3621.

Contact Information

Primary practice address
111 Washington Ave Nw Wagner SD 57380-0111
Fax: (605) 384-3293
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 018585 South Dakota

Profile Details

NPI number 1588805816
LBN Legal business name Permann, Colleen R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Mar 17th, 2009 - about 17 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 1588805816 NPPES
South Dakota MEDICAID 5540030

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