Black Dog, Donna
Black Dog, Donna is an individual health care provider with primary practice located at 603 1/2 Court Ave. , Poplar MT 59255. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Black Dog, Donna can be contacted via phone (406) 768-5364.Contact Information
Primary practice address
603 1/2 Court Ave.
Poplar MT 59255
Phone: (406) 768-5364
Fax: (406) 768-5202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAC-LAC-LIC-1393 | Montana |
Profile Details
| NPI number | 1376080234 |
|---|---|
| LBN Legal business name | Black Dog, Donna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2017 |
| Last updated | Jan 30th, 2017 - about 7 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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