Baker, Tennille Cybil
Baker, Tennille Cybil is an individual health care provider with primary practice located at 931 Highland Blvd Ste 3130 , Bozeman MT 59715-6914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Baker, Tennille Cybil can be contacted via phone (406) 414-5070.Contact Information
Primary practice address
931 Highland Blvd Ste 3130
Bozeman MT 59715-6914
Phone: (406) 414-5070
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 529 | Montana |
Profile Details
NPI number | 1811001290 |
---|---|
LBN Legal business name | Baker, Tennille Cybil |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2006 |
Last updated | Jul 22nd, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811001290 | NPPES |
Montana | MEDICAID | 1811001290 |
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