WANDA J. DALLY MT – NPI #1740497775
Specialist/Technologist, Pathology

WANDA DALLY is a technologist located in WAGNER, SD. NPPES has assigned the NPI number 1740497775 to WANDA DALLY on May 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QM0706X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Medical Technologist

The NPI profile was previously updated about 19 years ago on Jul 09, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WANDA DALLY below.

NPI Profile for
WANDA J. DALLY

NPI Number
1740497775
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
WANDA J. DALLY
Credentials
MT
Primary location
111 WASHINGTON AVE NW
WAGNER, SD 57380
Phone: (605) 384-3621 Fax: (605) 384-3293
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for WANDA DALLY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSD5540100
MEDICAIDSD5540030
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QM0706X
- Specialist/Technologist, Pathology / Medical Technologist (Primary)
SD 185598

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.