De Groot, Petra Gerarda
De Groot, Petra Gerarda is an sole proprietor health care provider with primary practice located at 210 N Higgins Ave Suite 327, Missoula MT 59802-4462. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. De Groot, Petra Gerarda can be contacted via phone (406) 728-7584.Contact Information
Primary practice address
210 N Higgins Ave Suite 327
Missoula MT 59802-4462
Phone: (406) 728-7584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MT 441 | Montana |
Profile Details
| NPI number | 1871706408 |
|---|---|
| LBN Legal business name | De Groot, Petra Gerarda |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871706408 | NPPES |
| Montana | Other | 74933 | BLUE CROSS & BLUE SHIELD |
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