Colledge, Paula S

Colledge, Paula S is an individual health care provider with primary practice located at 500 West Broadway Street Suite 310, Missoula MT 59802-4012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Colledge, Paula S can be contacted via phone (406) 728-6520.

Contact Information

Primary practice address
500 West Broadway Street Suite 310 Missoula MT 59802-4012
Phone: (406) 728-6520
Fax: (406) 329-2936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 355 Montana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MED-PAC-LIC-355 Montana

Profile Details

NPI number 1952395758
LBN Legal business name Colledge, Paula S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Dec 14th, 2021 - about 3 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 1952395758 NPPES
Montana MEDICAID 4302632

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