Willson, Laverne Clarence

Willson, Laverne Clarence is an sole proprietor health care provider with primary practice located at 2525 West Main Suite 106, Rapid City SD 57702-2438. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Willson, Laverne Clarence can be contacted via phone (605) 355-9776.

Contact Information

Primary practice address
2525 West Main Suite 106 Rapid City SD 57702-2438
Phone: (605) 355-9776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 257 South Dakota

Profile Details

NPI number 1275793853
LBN Legal business name Willson, Laverne Clarence
Credentials LICENSED HEARING INS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2008
Last updated Jun 17th, 2008 - about 17 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 1275793853 NPPES
South Dakota MEDICAID 9159920

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