Clucas, Thomas J

Clucas, Thomas J is an individual health care provider with primary practice located at 125 Bank Street Suite 310, Mussoula MT 59802. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clucas, Thomas J can be contacted via phone (406) 549-7325.

Contact Information

Primary practice address
125 Bank Street Suite 310 Mussoula MT 59802
Phone: (406) 549-7325
Fax: (406) 549-7559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X MT186 Montana

Profile Details

NPI number 1083763643
LBN Legal business name Clucas, Thomas J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 10th, 2008 - 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 1083763643 NPPES
Montana Other 51981 BLUE CROSS BLUE SHIELD

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