Brunsdon, Jennifer Lee

Brunsdon, Jennifer Lee is an individual health care provider with primary practice located at 16 W Main St , White Sulphur Springs MT 59645-9036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brunsdon, Jennifer Lee can be contacted via phone (406) 547-3321.

Contact Information

Primary practice address
16 W Main St White Sulphur Springs MT 59645-9036
Fax: (406) 547-3298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10721 Montana

Profile Details

NPI number 1003917618
LBN Legal business name Brunsdon, Jennifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 28th, 2019 - about 6 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 1003917618 NPPES
Montana MEDICAID 0141908
Montana Other 99656

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