Perusich, Tommie Lynn
Perusich, Tommie Lynn is an individual health care provider with primary practice located at 1120 Cedar St. , Missoula MT 59802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Perusich, Tommie Lynn can be contacted via phone (406) 541-4673.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 155842 | Montana |
Profile Details
| NPI number | 1194364091 |
|---|---|
| LBN Legal business name | Perusich, Tommie Lynn |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2019 |
| Last updated | Dec 26th, 2019 - about 6 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 | 1194364091 | NPPES |
| Montana | MEDICAID | 0290819 |
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