Leffingwell, Mary Elizabeth

Leffingwell, Mary Elizabeth is an individual health care provider with primary practice located at 2835 Fort Missoula Rd Ste 205 , Missoula MT 59804-7424. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Leffingwell, Mary Elizabeth can be contacted via phone (406) 542-0391.

Contact Information

Primary practice address
2835 Fort Missoula Rd Ste 205 Missoula MT 59804-7424
Phone: (406) 542-0391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN-46849 Montana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NUR-APRN-115785 Montana

Profile Details

NPI number 1235496209
LBN Legal business name Leffingwell, Mary Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2012
Last updated Mar 22nd, 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 1235496209 NPPES
Montana MEDICAID 1376946913

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