Chelmo, Jeffery T.
Chelmo, Jeffery T. is an individual health care provider with primary practice located at 418 West Monroe , Chester MT 59522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chelmo, Jeffery T. can be contacted via phone (406) 759-5194.Contact Information
Primary practice address
418 West Monroe
Chester MT 59522
Phone: (406) 759-5194
Fax: (406) 759-5105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 219 | Montana |
Profile Details
| NPI number | 1336238518 |
|---|---|
| LBN Legal business name | Chelmo, Jeffery T. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | May 17th, 2016 - 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 | 1336238518 | NPPES |
| Montana | MEDICAID | 0434350 | |
| Montana | MEDICAID | 0720273 |
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