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Contact Information

MADONNA MCCONNELL
603 1/2 COURT AVENUE
POPLAR, MT59255
 Phone: 406-768-5364
 Fax: 406-768-5202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MADONNA MCCONNELL · (Female)

NPI # 1053858001
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2017
Last updated 01/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MT License # BBH-LAC-LIC3451
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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