Blank, Cheryl Rae

Blank, Cheryl Rae is an sole proprietor health care provider with primary practice located at 121 W Kagy Blvd , Bozeman MT 59715-6000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Blank, Cheryl Rae can be contacted via phone (406) 587-7468.

Contact Information

Primary practice address
121 W Kagy Blvd Bozeman MT 59715-6000
Phone: (406) 587-7468
Fax: (406) 587-4520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 457 Montana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 202 Montana

Profile Details

NPI number 1932221058
LBN Legal business name Blank, Cheryl Rae
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jan 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932221058 NPPES
Montana Other 51011 BLUE CROSS - MSU
Montana MEDICAID 0000490807 BLUE CROSS - MSU
Montana Other 264349 BLUE CROSS - MSU
Montana Other 86-1155463 BLUE CROSS - MSU
Montana Other 52820 BLUE CROSS - MSU

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