Mckinnie, Michele Catherine

Mckinnie, Michele Catherine is an sole proprietor health care provider with primary practice located at 1648 Ellis St Suite 302, Bozeman MT 59715-8810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mckinnie, Michele Catherine can be contacted via phone (406) 582-1321.

Contact Information

Primary practice address
1648 Ellis St Suite 302 Bozeman MT 59715-8810
Fax: (406) 587-1513
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 338 Montana

Profile Details

NPI number 1902969983
LBN Legal business name Mckinnie, Michele Catherine
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Dec 4th, 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 1902969983 NPPES
Montana Other 52441 BCBS-MT PROVIDER NUMBER
Montana MEDICAID 0000492881 BCBS-MT PROVIDER NUMBER

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