Black, Riley Mackenzie
Black, Riley Mackenzie is an sole proprietor health care provider with primary practice located at 198 Cherry Creek Dr , Libby MT 59923-7848. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Black, Riley Mackenzie can be contacted via phone (406) 291-1994.Contact Information
Primary practice address
198 Cherry Creek Dr
Libby MT 59923-7848
Phone: (406) 291-1994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | LIC103602 | Montana |
Profile Details
| NPI number | 1538875935 |
|---|---|
| LBN Legal business name | Black, Riley Mackenzie |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2023 |
| Last updated | Jan 30th, 2023 - about 2 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 | 1538875935 | NPPES |
| Montana | Other | 0801419904108 | DRIVERS LICENSE |
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