Knutson, Melissa Sue

Knutson, Melissa Sue is an individual health care provider with primary practice located at 316 E Babcock St , Bozeman MT 59715-4710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Knutson, Melissa Sue can be contacted via phone (406) 585-0022.

Contact Information

Primary practice address
316 E Babcock St Bozeman MT 59715-4710
Phone: (406) 585-0022
Fax: (406) 585-0032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34009672 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO157503 Oregon

Profile Details

NPI number 1568790046
LBN Legal business name Knutson, Melissa Sue
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2009
Last updated May 3rd, 2022 - about 3 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 1568790046 NPPES
West Virginia Other 10024004 WV BWC
West Virginia Other 3029332 WV BWC
West Virginia MEDICAID 3029332 WV BWC
West Virginia MEDICAID 3810017114 WV BWC

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