Pontoriero, Charlene
Pontoriero, Charlene is an individual health care provider with primary practice located at 107 Dilworth St , Glendive MT 59330-2053. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pontoriero, Charlene can be contacted via phone (406) 345-8935.Contact Information
Primary practice address
107 Dilworth St
Glendive MT 59330-2053
Phone: (406) 345-8935
Fax: (406) 345-8908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R30872 | North Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 23960 | Montana |
Profile Details
| NPI number | 1457424244 |
|---|---|
| LBN Legal business name | Pontoriero, Charlene |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Dec 10th, 2020 - 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 | 1457424244 | NPPES |
| Montana | Other | 000063062 | BLUE CROSS OF MT |
| Montana | MEDICAID | 005027 | BLUE CROSS OF MT |
| Montana | MEDICAID | 0720161 | BLUE CROSS OF MT |
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