Elliott, Cynthia Marie
Elliott, Cynthia Marie is an sole proprietor health care provider with primary practice located at 40403 Forman Rd , Polson MT 59860-8366. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Elliott, Cynthia Marie can be contacted via phone (406) 883-2223.Contact Information
Primary practice address
40403 Forman Rd
Polson MT 59860-8366
Phone: (406) 883-2223
Fax: (406) 883-2223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 718 | Montana |
Profile Details
| NPI number | 1518038652 |
|---|---|
| LBN Legal business name | Elliott, Cynthia Marie |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jul 9th, 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 | 1518038652 | NPPES |
| Montana | Other | 661110 | BCBS PROVIDER NUMBER |
| Montana | MEDICAID | 342482 | BCBS PROVIDER NUMBER |
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