Ullom, Renee E

Ullom, Renee E is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. 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. Ullom, Renee E can be contacted via phone (605) 333-1000.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 333-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0554 South Dakota

Profile Details

NPI number 1346213402
LBN Legal business name Ullom, Renee E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Oct 24th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346213402 NPPES
South Dakota MEDICAID 6825490

Popular Providers