Mullins, Wendy Ann
Mullins, Wendy Ann is an individual health care provider with primary practice located at 4447 S Canyon Rd Suite # 5, Rapid City SD 57702-1807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mullins, Wendy Ann can be contacted via phone (605) 412-4443.Contact Information
Primary practice address
4447 S Canyon Rd Suite # 5
Rapid City SD 57702-1807
Phone: (605) 412-4443
Fax: (605) 385-0035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 535 | South Dakota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY.0003913 | Colorado |
Profile Details
| NPI number | 1558486647 |
|---|---|
| LBN Legal business name | Mullins, Wendy Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jun 27th, 2016 - about 8 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 | 1558486647 | NPPES |
| Colorado | MEDICAID | 47689321 | |
| Colorado | MEDICAID | 6553550 |
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