Dudley, Martha Fairchild
Dudley, Martha Fairchild is an sole proprietor health care provider with primary practice located at 612 E Main St Suite B, Bozeman MT 59715-3719. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dudley, Martha Fairchild can be contacted via phone (406) 539-0300.Contact Information
Primary practice address
612 E Main St Suite B
Bozeman MT 59715-3719
Phone: (406) 539-0300
Fax: (406) 522-0286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1037 | Montana |
Profile Details
| NPI number | 1366566358 |
|---|---|
| LBN Legal business name | Dudley, Martha Fairchild |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1366566358 | NPPES |
| Montana | MEDICAID | 0255102 |
Popular Providers
-
Staben, Carol Burroughs
2023 Stadium Dr #2B, Bozeman MT 59715-0613 -
Dickson, Charlotte
1940 W Dickerson St Ste 205 , Bozeman MT 59718-6851 -
Platt, Susan W.
121 W Kagy Blvd , Bozeman MT 59715-6000 -
Patrick, Rebekah Driessen
1807 W Dickerson St Ste D , Bozeman MT 59715-1311 -
Bailey, Laura M.
301 N Willson Ave , Bozeman MT 59715-3502 -
Bianchini, Wendy Marie
333 Haggerty Ln Ste 2 , Bozeman MT 59715-1780 -
Hood Dayhuff, Marilyn
1704 W Babcock St Suite G, Bozeman MT 59715-4058 -
Rue, Amy E
2050 Fairway Dr Ste 202 , Bozeman MT 59715-5810