Jean D Ballou Pc
LBN: Jean D Ballou Pc
Jean D Ballou Pc is an health care organization with primary practice located at 210 N Higgins Ave Ste 314 , Missoula MT 59802-4443. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Jean D Ballou Pc can be contacted via phone (406) 543-9566, or through Ballou, Jean D via phone (406) 543-9566.
Contact Information
Primary practice address
210 N Higgins Ave Ste 314
Missoula MT 59802-4443
Phone: (406) 543-9566
Fax:
Website:
Authorized official contact:
Name: Ballou, Jean D Licensed Clinical Social Worker (LCSW)
Phone: (406) 543-9566
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27LCSW | Montana |
Profile Details
NPI number | 1578834586 |
---|---|
LBN Legal business name | Jean D Ballou Pc |
DBA Doing business as | |
Authorized official | Ballou, Jean D Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 23rd, 2012 |
Last updated | Jul 2nd, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578834586 | NPPES |
Montana | MEDICAID | 0503295 | |
Montana | Other | 0000071350 |
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