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
Fax: (406) 586-8327
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528117983 NPPES
Montana Other 74616 BCBS PROVIDER #

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