Defuentes, Paloma Regina
Defuentes, Paloma Regina is an sole proprietor health care provider with primary practice located at 2050 Fairway Dr Ste 103 , Bozeman MT 59715-5819. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Defuentes, Paloma Regina can be contacted via phone (406) 556-1209.Contact Information
Primary practice address
2050 Fairway Dr Ste 103
Bozeman MT 59715-5819
Phone: (406) 556-1209
Fax: (406) 522-3716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 097 | Montana |
Profile Details
| NPI number | 1003933565 |
|---|---|
| LBN Legal business name | Defuentes, Paloma Regina |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jan 24th, 2013 - about 11 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 | 1003933565 | NPPES |
| Montana | Other | 298728 | BLUE CROSS BLUE SHIELD |
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