Wisniewski, Nadine M.
Wisniewski, Nadine M. is an sole proprietor health care provider with primary practice located at 27 Fort Missoula Rd Ste B4, Missoula MT 59804-7206. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wisniewski, Nadine M. can be contacted via phone (406) 370-1727.Contact Information
Primary practice address
27 Fort Missoula Rd Ste B4
Missoula MT 59804-7206
Phone: (406) 370-1727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | MT254 | Montana |
Profile Details
| NPI number | 1245357177 |
|---|---|
| LBN Legal business name | Wisniewski, Nadine M. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2007 |
| Last updated | Jan 14th, 2019 - about 6 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 | 1245357177 | NPPES |
| Montana | Other | 50641 | BLUE CROSS |
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