Grace, Wendy Terese
Grace, Wendy Terese is an individual health care provider with primary practice located at 400 S Clark St , Butte MT 59701-2328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grace, Wendy Terese can be contacted via phone (406) 723-2500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD162973 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-1119 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34591 | Montana |
Profile Details
| NPI number | 1265743348 |
|---|---|
| LBN Legal business name | Grace, Wendy Terese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Jun 15th, 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 | 1265743348 | NPPES |
| Oregon | MEDICAID | 500657667 |
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