Patricia Marie Bue
Individual provider Active NPI Taxi · Watertown, SD
NPI 1487429262 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1487429262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Taxi 344600000X
- License
- 1039-6574-ST (SD)
- Practice address
- 1303 1St Ave SE
Watertown, SD 57201-3808 - Phone
- (605) 949-1056
- NPI assigned
- Nov 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039-6574-ST | SD | MD | Taxi |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | 1039-6574-ST | SD | Yes |
Addresses
Primary practice location
1303 1St Ave SE
Watertown, SD 57201-3808
Mailing address
1303 1St Ave SE
Watertown, SD 57201-3808
Phone (605) 949-1056
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.