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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558486647 NPPES
Colorado MEDICAID 47689321
Colorado MEDICAID 6553550

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