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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669591293 NPPES
Montana MEDICAID 0492297
Montana Other 53090

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