Wallin, Mary Jean

Wallin, Mary Jean is an individual health care provider with primary practice located at 1500 W 22Nd St Ste 301 Sanford Health Maternal Fetal Medicine Clinic, Sioux Falls SD 57105-1503. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Wallin, Mary Jean can be contacted via phone (605) 328-7700.

Contact Information

Primary practice address
1500 W 22Nd St Ste 301 Sanford Health Maternal Fetal Medicine Clinic Sioux Falls SD 57105-1503
Phone: (605) 328-7700
Fax: (605) 328-7775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0023 South Dakota
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1720084486
LBN Legal business name Wallin, Mary Jean
Credentials CERTIFIED NURSE MIDW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Oct 17th, 2018 - about 7 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 1720084486 NPPES
South Dakota MEDICAID 6540104

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