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
Phone: (406) 243-5486
Fax: (406) 243-4730
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 56 | Montana |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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