Purdy, Elisabeth Montana

Purdy, Elisabeth Montana is an individual health care provider with primary practice located at 120 23Rd Ave Ne , Great Falls MT 59404-1445. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Purdy, Elisabeth Montana can be contacted via phone (406) 453-6784.

Contact Information

Primary practice address
120 23Rd Ave Ne Great Falls MT 59404-1445
Phone: (406) 453-6784
Fax: (406) 453-6793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC 1189 Montana

Profile Details

NPI number 1477550549
LBN Legal business name Purdy, Elisabeth Montana
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Apr 9th, 2008 - about 16 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 1477550549 NPPES
Montana Other GROUP GROUP DEFAULT
Montana MEDICAID 0256737 GROUP DEFAULT

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