Dana, Dudley
Dana, Dudley is an sole proprietor health care provider with primary practice located at 815 E Front St Ste 1 , Missoula MT 59802-5600. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dana, Dudley can be contacted via phone (406) 549-4088.Contact Information
Primary practice address
815 E Front St Ste 1
Missoula MT 59802-5600
Phone: (406) 549-4088
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 225 | Montana |
Profile Details
NPI number | 1669591293 |
---|---|
LBN Legal business name | Dana, Dudley |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669591293 | NPPES |
Montana | MEDICAID | 0492297 | |
Montana | Other | 53090 |
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