Comeau, Anita Marie

Comeau, Anita Marie is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Comeau, Anita Marie can be contacted via phone (605) 355-2228.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2228
Fax: (605) 355-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X PBT 25080

Profile Details

NPI number 1861724171
LBN Legal business name Comeau, Anita Marie
Credentials PBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2010
Last updated Feb 11th, 2010 - about 14 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 1861724171 NPPES
South Dakota MEDICAID 0140070
South Dakota Other 5549050

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