Perrenoud, Mark William

Perrenoud, Mark William is an sole proprietor health care provider with primary practice located at 1818 W Fulton St Suite 201, Rapid City SD 57702-4347. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Perrenoud, Mark William can be contacted via phone (605) 348-6500.

Contact Information

Primary practice address
1818 W Fulton St Suite 201 Rapid City SD 57702-4347
Phone: (605) 348-6500
Fax: (605) 341-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 316 South Dakota
Behavioral Health & Social Service Providers / Counseling 103TC1900X 316 South Dakota

Profile Details

NPI number 1588639033
LBN Legal business name Perrenoud, Mark William
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Mar 29th, 2012 - about 13 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 1588639033 NPPES
South Dakota MEDICAID 6550895

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