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Contact Information

CHARLES D JENNINGS, MD
500 15TH AVE S
SUITE 1
GREAT FALLS, MT59405-4324
 Phone: 406-455-3650
 Fax: 406-455-3695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CHARLES D JENNINGS · (Male)

NPI Number 1023045226
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 05/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 3805
  • MT Medicaid 0019201
  • MT Other 000000780 BLUE CROSS BLUE SHIELD
  • MT Other 184609700 FEDERAL WORK COMP
  • MT Other 020013476 RAILROAD MEDICARE
  • MT Other 0012575 WASHINGTON L&I
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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