King, Molly Siddoway
King, Molly Siddoway is an sole proprietor health care provider with primary practice located at 104 E Main St Suite 204, Bozeman MT 59715-4760. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. King, Molly Siddoway can be contacted via phone (406) 587-8069.Contact Information
Primary practice address
104 E Main St Suite 204
Bozeman MT 59715-4760
Phone: (406) 587-8069
Fax: (406) 586-8327
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC - 669 | Montana |
Profile Details
NPI number | 1528117983 |
---|---|
LBN Legal business name | King, Molly Siddoway |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 8th, 2007 |
Last updated | Jul 8th, 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 | 1528117983 | NPPES |
Montana | Other | 74616 | BCBS PROVIDER # |
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