Provider Demographics
NPI:1225928120
Name:SOUL SIGN CO LLC
Entity type:Organization
Organization Name:SOUL SIGN CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIEGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-321-7870
Mailing Address - Street 1:738 SHAMROCK DR
Mailing Address - Street 2:C/O CHARLENE FIEGEN
Mailing Address - City:HARTFORD
Mailing Address - State:SD
Mailing Address - Zip Code:57033-2396
Mailing Address - Country:US
Mailing Address - Phone:605-321-7870
Mailing Address - Fax:
Practice Address - Street 1:738 SHAMROCK DR
Practice Address - Street 2:C/O CHARLENE FIEGEN
Practice Address - City:HARTFORD
Practice Address - State:SD
Practice Address - Zip Code:57033-2396
Practice Address - Country:US
Practice Address - Phone:605-321-7870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment