Patenaude, William D

Patenaude, William D is an individual health care provider with primary practice located at 500 W Broadway St , Missoula MT 59802-4008. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Patenaude, William D can be contacted via phone (406) 327-1670.

Contact Information

Primary practice address
500 W Broadway St Missoula MT 59802-4008
Fax: (406) 329-5697
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-PSY-LIC-315 Montana

Profile Details

NPI number 1407905086
LBN Legal business name Patenaude, William D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 2nd, 2021 - about 3 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 1407905086 NPPES
Montana MEDICAID 0491793
Montana Other 051891

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