Dusatko, Amanda

Dusatko, Amanda is an individual health care provider with primary practice located at 2911 Wilson St , Miles City MT 59301-5722. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dusatko, Amanda can be contacted via phone (406) 234-2929.

Contact Information

Primary practice address
2911 Wilson St Miles City MT 59301-5722
Phone: (406) 234-2929
Fax: (406) 234-2928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BBH-ACLC-LIC-54933 Montana

Profile Details

NPI number 1174284384
LBN Legal business name Dusatko, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2022
Last updated Jan 10th, 2022 - about 2 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 1174284384 NPPES
Montana Other BBH-ACLC-LIC-54933 STATE LICENSE

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