Degolier, Rob
Degolier, Rob is an individual health care provider with primary practice located at 29 1/2 W Cottonwood Dr , Kalispell MT 59901-2800. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Degolier, Rob can be contacted via phone (406) 885-3726.Contact Information
Primary practice address
29 1/2 W Cottonwood Dr
Kalispell MT 59901-2800
Phone: (406) 885-3726
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1143 | Montana |
Profile Details
| NPI number | 1851422299 |
|---|---|
| LBN Legal business name | Degolier, Rob |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jun 19th, 2014 - about 12 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 | 1851422299 | NPPES |
| Montana | Other | 0000076391 | BLUE CROSS BLUE SHIELD |
| Montana | MEDICAID | 0320372 | BLUE CROSS BLUE SHIELD |
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