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Contact Information

CARLEY HENNESSY
1700 11TH ST W
WILLISTON, ND58801-4500
 Phone: 701-774-7687
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CARLEY HENNESSY · (Female)

NPI Number 1407227101
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2015
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # MED-PAC-LIC-76234
  • ND License # PAC0617
Hospital affiliation(s)
  • BILLINGS CLINIC HOSPITAL - (Acute Care)
    2800 10TH AVE N
    BILLINGS, MT 59101
  • BOZEMAN DEACONESS HOSPITAL - (Acute Care)
    915 HIGHLAND BLVD
    BOZEMAN, MT 59715
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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