Spaan-Raymond, Penni

Spaan-Raymond, Penni is an sole proprietor health care provider with primary practice located at 415 N Higgins Ave Ste #114, Missoula MT 59802-4522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Spaan-Raymond, Penni can be contacted via phone (406) 728-0078.

Contact Information

Primary practice address
415 N Higgins Ave Ste #114 Missoula MT 59802-4522
Phone: (406) 728-0078
Fax: (406) 728-0078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC 1066 Montana

Profile Details

NPI number 1053466144
LBN Legal business name Spaan-Raymond, Penni
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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 1053466144 NPPES
Montana Other 740640 BLUE CROSS BLUE SHIELD
Montana MEDICAID 0255748 BLUE CROSS BLUE SHIELD

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