Feehan, Pamela Jo

Feehan, Pamela Jo is an individual health care provider with primary practice located at 30 Knollwood Dr Suite C, Rapid City SD 57701-0695. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Feehan, Pamela Jo can be contacted via phone (605) 348-7706.

Contact Information

Primary practice address
30 Knollwood Dr Suite C Rapid City SD 57701-0695
Fax: (605) 716-2614
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 007A South Dakota

Profile Details

NPI number 1114012176
LBN Legal business name Feehan, Pamela Jo
Credentials AUD CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1114012176 NPPES
South Dakota MEDICAID 5834250

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