Trudaeu, Renae
Trudaeu, Renae is an sole proprietor health care provider with primary practice located at 1905 W 57Th St St 3 , Sioux Falls SD 57108. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Trudaeu, Renae can be contacted via phone (605) 371-3533.Contact Information
Primary practice address
1905 W 57Th St St 3
Sioux Falls SD 57108
Phone: (605) 371-3533
Fax: (605) 371-3533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT11046 | South Dakota |
Profile Details
| NPI number | 1154917029 |
|---|---|
| LBN Legal business name | Trudaeu, Renae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2020 |
| Last updated | Dec 16th, 2020 - about 5 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 | 1154917029 | NPPES |
| South Dakota | Other | 11046 | NON MEDICARE PROVIDER |
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