Brandon, John M
Brandon, John M is an individual health care provider with primary practice located at 200 Heritage Way , Kalispell MT 59901-3146. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Brandon, John M can be contacted via phone (406) 756-3950.Contact Information
Primary practice address
200 Heritage Way
Kalispell MT 59901-3146
Phone: (406) 756-3950
Fax: (406) 756-3957
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 404 LCPC | Montana |
Profile Details
NPI number | 1164469359 |
---|---|
LBN Legal business name | Brandon, John M |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2006 |
Last updated | Nov 27th, 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 | 1164469359 | NPPES |
Montana | MEDICAID | 256113 | |
Montana | Other | 741160 |
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