Smith, Wanda Bo
Smith, Wanda Bo is an sole proprietor health care provider with primary practice located at 710 Grand Ave Suite 6, Billings MT 59101-5852. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Wanda Bo can be contacted via phone (406) 690-1616.Contact Information
Primary practice address
710 Grand Ave Suite 6
Billings MT 59101-5852
Phone: (406) 690-1616
Fax: (406) 294-2925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1113 LCPC | Montana |
Profile Details
| NPI number | 1124163324 |
|---|---|
| LBN Legal business name | Smith, Wanda Bo |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Nov 13th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124163324 | NPPES |
| Montana | Other | 000741360 | BCBS |
| Montana | MEDICAID | 0256165 | BCBS |
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