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
Fax: (406) 756-3957
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164469359 NPPES
Montana MEDICAID 256113
Montana Other 741160

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