Farnsworth, Gwen
Farnsworth, Gwen is an sole proprietor health care provider with primary practice located at 30 Fort Missoula # 10 , Missoula MT 59804-7203. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Farnsworth, Gwen can be contacted via phone (406) 728-6065.Contact Information
Primary practice address
30 Fort Missoula # 10
Missoula MT 59804-7203
Phone: (406) 728-6065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 588 | Montana |
Profile Details
| NPI number | 1912127770 |
|---|---|
| LBN Legal business name | Farnsworth, Gwen |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| 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 | 1912127770 | NPPES |
| Montana | MEDICAID | 254345 |
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