Red Shirt, Carmel

Red Shirt, Carmel is an individual health care provider with primary practice located at 3200 Canyon Lake Dr. , Rapid City SD 57702-8197. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Red Shirt, Carmel can be contacted via phone (605) 355-2500.

Contact Information

Primary practice address
3200 Canyon Lake Dr. Rapid City SD 57702-8197
Phone: (605) 355-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P007378 South Dakota

Profile Details

NPI number 1811226780
LBN Legal business name Red Shirt, Carmel
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2009
Last updated Dec 23rd, 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 1811226780 NPPES
South Dakota MEDICAID 0140070
South Dakota MEDICAID 5549050

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