Deroche, Mary Louise
Deroche, Mary Louise is an individual health care provider with primary practice located at 807 North Piegan Street , Browning MT 59417. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Deroche, Mary Louise can be contacted via phone (406) 338-6330.Contact Information
Primary practice address
807 North Piegan Street
Browning MT 59417
Phone: (406) 338-6330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 786 | Montana |
Profile Details
| NPI number | 1649828641 |
|---|---|
| LBN Legal business name | Deroche, Mary Louise |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2019 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1649828641 | NPPES |
| Montana | MEDICAID | 1285854885 |
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