IRMA F SKUNKCAP, LAC HARLEM, MT

Contact Information

IRMA F SKUNKCAP, LAC

656 AGENCY MAIN STREET
HARLEM, MT 59526

Phone: 406-353-4175
Fax: 406-353-4771
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for IRMA F SKUNKCAP · (Female)

NPI Number	`1295943710`
Status	Active
Credentials	LAC
Entity	Individual
Enumeration date	05/18/2007
Last updated	04/21/2017 - About 9 years ago
Sole proprietor ¹	Yes
Identifiers	MT License # 1149-LAC MT License # BBH-LAC-LIC-1149
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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