Blythe, Jeanette K

Blythe, Jeanette K is an individual health care provider with primary practice located at 35401 Mission Drive , Saint Ignatius MT 59865-3649. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Blythe, Jeanette K can be contacted via phone (406) 745-3525.

Contact Information

Primary practice address
35401 Mission Drive Saint Ignatius MT 59865-3649
Fax: (406) 745-4409
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X BBH-PCLC-LIC-30656 Montana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BBH-LAC-LIC-1087 Montana

Profile Details

NPI number 1851760615
LBN Legal business name Blythe, Jeanette K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Mar 14th, 2024 - about 2 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 1851760615 NPPES
Montana MEDICAID 9901567

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