Antley, Susan Kinkade
Antley, Susan Kinkade is an individual health care provider with primary practice located at 7176 Highway 93 South , Lakeside MT 59922. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Antley, Susan Kinkade can be contacted via phone (406) 844-2151.Contact Information
Primary practice address
7176 Highway 93 South
Lakeside MT 59922
Phone: (406) 844-2151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHI 954 | Montana |
Profile Details
| NPI number | 1457401895 |
|---|---|
| LBN Legal business name | Antley, Susan Kinkade |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Mar 16th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457401895 | NPPES |
| Montana | Other | 0000040033 | BLUE CROSS BLUE SHIELD |
| Montana | MEDICAID | 0000163999 | BLUE CROSS BLUE SHIELD |
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