Chronister, Mary R.

Chronister, Mary R. is an sole proprietor health care provider with primary practice located at 48 Medical Park Dr , Helena MT 59601-4925. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chronister, Mary R. can be contacted via phone (406) 449-3880.

Contact Information

Primary practice address
48 Medical Park Dr Helena MT 59601-4925
Fax: (406) 442-6935
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 049 Montana

Profile Details

NPI number 1649288812
LBN Legal business name Chronister, Mary R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649288812 NPPES
Montana MEDICAID 0491543

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