Mullette, Leslie M

Mullette, Leslie M is an individual health care provider with primary practice located at Montech 634 Eddy Ave, Missoula MT 59812-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mullette, Leslie M can be contacted via phone (406) 243-5486.

Contact Information

Primary practice address
Montech 634 Eddy Ave Missoula MT 59812-0001
Fax: (406) 243-4730
Website:

Health care specialties

Profile Details

NPI number 1326187253
LBN Legal business name Mullette, Leslie M
Credentials LICENSED OTR, ATP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1326187253 NPPES
Montana Other 660950 BLUE CROSS BLUE SHIELD MT
Montana MEDICAID 347276 BLUE CROSS BLUE SHIELD MT

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