Montana, Jessica A
Montana, Jessica A is an sole proprietor health care provider with primary practice located at 1170 Makawao Ave Ste 103 , Makawao HI 96768-9448. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Montana, Jessica A can be contacted via phone (808) 633-6123.Contact Information
Primary practice address
1170 Makawao Ave Ste 103
Makawao HI 96768-9448
Phone: (808) 633-6123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 981 | Hawaii |
Profile Details
| NPI number | 1710241138 |
|---|---|
| LBN Legal business name | Montana, Jessica A |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Feb 12th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710241138 | NPPES |
| Hawaii | Other | ACU-981 | HAWAII STATE LICENSE |
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