Blavatsky, Elizabeth
Blavatsky, Elizabeth is an individual health care provider with primary practice located at 422 S Main St , Livingston MT 59047-3456. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Blavatsky, Elizabeth can be contacted via phone (406) 222-6061.Contact Information
Primary practice address
422 S Main St
Livingston MT 59047-3456
Phone: (406) 222-6061
Fax: (406) 222-6062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1835 | Montana |
Profile Details
| NPI number | 1679627699 |
|---|---|
| LBN Legal business name | Blavatsky, Elizabeth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679627699 | NPPES |
| Montana | MEDICAID | 0130624 | |
| Montana | Other | 5511051 |
Popular Providers
-
Moskowitz, Steven A.
1517 Packer Ave , Philadelphia PA 19145-4910 -
Jagodzinski, Gary A
422 S Main St , Livingston MT 59047-3456 -
Alvarado, Frank A.
2850 Artesia Blvd Ste 210, Redondo Beach CA 90278-3413 -
James, Sue
9351 Grant St Ste 340, Denver CO 80229-4365 -
Winn, Frank O.
4551 Gautier Vancleave Rd Ste A, Gautier MS 39553-4810 -
Schoelch, Michael L
110 South B St , Livingston MT 59047 -
Venable, William J.
110 South B Street , Livingston MT 59047-2612 -
Scott, Kevin Graham
422 South Main Street , Livingston MT 59047