Frazier, Jill
Frazier, Jill is an individual health care provider with primary practice located at 715 Kensington Ave Suite 1, Missoula MT 59801-5769. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Frazier, Jill can be contacted via phone (406) 549-6222.Contact Information
Primary practice address
715 Kensington Ave Suite 1
Missoula MT 59801-5769
Phone: (406) 549-6222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | MT1944 | Montana |
Profile Details
| NPI number | 1710177233 |
|---|---|
| LBN Legal business name | Frazier, Jill |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Dec 20th, 2008 - about 16 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 | 1710177233 | NPPES |
| Montana | MEDICAID | 0005511179 |
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