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Contact Information

BADLANDS MEDICAL INC
332 LEAVITT AVE
JORDAN, MT59337
 Phone: 406-557-2819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BADLANDS MEDICAL INC · (Female)

NPI # 1114098837
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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