Mayo, Jennifer Burch

Mayo, Jennifer Burch is an individual health care provider with primary practice located at 500 W Broadway St , Missoula MT 59802-4008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mayo, Jennifer Burch can be contacted via phone (406) 721-5600.

Contact Information

Primary practice address
500 W Broadway St Missoula MT 59802-4008
Phone: (406) 721-5600
Fax: (406) 329-7103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 12428 Montana

Profile Details

NPI number 1437353232
LBN Legal business name Mayo, Jennifer Burch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jun 25th, 2021 - about 4 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 1437353232 NPPES
Montana MEDICAID 1437353232

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