Raven, Stephanie

Raven, Stephanie is an individual health care provider with primary practice located at 206 S 3Rd St W , Missoula MT 59801-2524. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Raven, Stephanie can be contacted via phone (406) 493-0075.

Contact Information

Primary practice address
206 S 3Rd St W Missoula MT 59801-2524
Fax: (888) 241-2059
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X AHC-NAT-LIC-1945 Montana

Profile Details

NPI number 1871061630
LBN Legal business name Raven, Stephanie
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2018
Last updated Mar 7th, 2023 - about last year

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 1871061630 NPPES
Montana Other AHC-NAT-LIC-1945 LICENSE

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