Donnelly, Dan

Donnelly, Dan is an individual health care provider with primary practice located at 1312 N Meridian Rd , Kalispell MT 59901-3095. 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. Donnelly, Dan can be contacted via phone (406) 756-6453.

Contact Information

Primary practice address
1312 N Meridian Rd Kalispell MT 59901-3095
Fax: (406) 756-8546
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1049 Montana

Profile Details

NPI number 1114058922
LBN Legal business name Donnelly, Dan
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114058922 NPPES
Montana MEDICAID 0320372
Montana Other 760640
Montana Other 0000076391

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