Mcinnis, Charleen A

Mcinnis, Charleen A is an individual health care provider with primary practice located at 935 Highland Blvd Suite 4400, Bozeman MT 59715-6904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcinnis, Charleen A can be contacted via phone (406) 587-5123.

Contact Information

Primary practice address
935 Highland Blvd Suite 4400 Bozeman MT 59715-6904
Phone: (406) 587-5123
Fax: (406) 556-6758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7288 Montana

Profile Details

NPI number 1851316947
LBN Legal business name Mcinnis, Charleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1851316947 NPPES
Montana Other 5711 BCBS
Montana MEDICAID 98319 BCBS

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