Wipf, Mallory

Wipf, Mallory is an individual health care provider with primary practice located at 640 Flormann St , Rapid City SD 57701-4679. 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. Wipf, Mallory can be contacted via phone (605) 755-3300.

Contact Information

Primary practice address
640 Flormann St Rapid City SD 57701-4679
Phone: (605) 755-3300
Fax: (605) 755-5775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1057 South Dakota

Profile Details

NPI number 1417405416
LBN Legal business name Wipf, Mallory
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Aug 31st, 2021 - 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.

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