Mitchell, Max Garrison
Mitchell, Max Garrison is an individual health care provider with primary practice located at 107 H Street , Poplar MT 59255-0067. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Mitchell, Max Garrison can be contacted via phone (406) 768-2156.Contact Information
Primary practice address
107 H Street
Poplar MT 59255-0067
Phone: (406) 768-2156
Fax: (406) 768-5109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | N-38315 | Idaho |
Profile Details
| NPI number | 1861761967 |
|---|---|
| LBN Legal business name | Mitchell, Max Garrison |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2011 |
| Last updated | Dec 19th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861761967 | NPPES |
| Montana | MEDICAID | 2220068 |
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