Schaunaman, Gwen M
Schaunaman, Gwen M is an individual health care provider with primary practice located at 506 1St Ave Se , Watertown SD 57201-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Schaunaman, Gwen M can be contacted via phone (605) 886-8482.Contact Information
Primary practice address
506 1St Ave Se
Watertown SD 57201-4402
Phone: (605) 886-8482
Fax: (605) 884-4300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 8831 | South Dakota |
Profile Details
| NPI number | 1235361064 |
|---|---|
| LBN Legal business name | Schaunaman, Gwen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2009 |
| Last updated | May 11th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235361064 | NPPES |
| South Dakota | Other | 8831 | SD STATE LICENSE |
| South Dakota | Other | 26686 | SD STATE LICENSE |
| South Dakota | Other | 60106736 | SD STATE LICENSE |
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