Soule, Mozelle M

Soule, Mozelle M is an individual health care provider with primary practice located at 937 Highland Blvd Ste 5510 , Bozeman MT 59715-6916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Soule, Mozelle M can be contacted via phone (406) 414-3959.

Contact Information

Primary practice address
937 Highland Blvd Ste 5510 Bozeman MT 59715-6916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15524 Montana

Profile Details

NPI number 1053372821
LBN Legal business name Soule, Mozelle M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 16th, 2020 - about 4 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 1053372821 NPPES
Montana MEDICAID 1053372821

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