Birnel, Deann Laree
Birnel, Deann Laree is an sole proprietor health care provider with primary practice located at 835 Speedway Ave , Missoula MT 59802-5563. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Birnel, Deann Laree can be contacted via phone (406) 549-8011.Contact Information
Primary practice address
835 Speedway Ave
Missoula MT 59802-5563
Phone: (406) 549-8011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 10149 | Montana |
Profile Details
| NPI number | 1699765602 |
|---|---|
| LBN Legal business name | Birnel, Deann Laree |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 10th, 2015 - about 10 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 | 1699765602 | NPPES |
| Idaho | MEDICAID | 806816200 | |
| Idaho | MEDICAID | 0070669 |
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