Foster, Jacqueline

Foster, Jacqueline is an sole proprietor health care provider with primary practice located at 67 Ryan Canyon Ln , Dillon MT 59725-8000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Foster, Jacqueline can be contacted via phone (406) 683-6219.

Contact Information

Primary practice address
67 Ryan Canyon Ln Dillon MT 59725-8000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 455 Montana

Profile Details

NPI number 1003823758
LBN Legal business name Foster, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Nov 8th, 2017 - about 9 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 1003823758 NPPES
Montana MEDICAID 0500208

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