Suda, William Leroy

Suda, William Leroy is an sole proprietor health care provider with primary practice located at 1201 Westwood Dr Suite C, Hamilton MT 59840-2305. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Suda, William Leroy can be contacted via phone (406) 363-2266.

Contact Information

Primary practice address
1201 Westwood Dr Suite C Hamilton MT 59840-2305
Phone: (406) 363-2266
Fax: (406) 363-2266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 89 Montana

Profile Details

NPI number 1376609941
LBN Legal business name Suda, William Leroy
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1376609941 NPPES
Montana MEDICAID 49-1244
Montana Other 163709
Montana Other 51550

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