Lilletvedt, Jacob Thomas

Lilletvedt, Jacob Thomas is an individual health care provider with primary practice located at 519 S Haynes Ave , Miles City MT 59301-4768. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lilletvedt, Jacob Thomas can be contacted via phone (406) 232-4627.

Contact Information

Primary practice address
519 S Haynes Ave Miles City MT 59301-4768
Phone: (406) 232-4627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHA-PHA-LIC-55429 Montana

Profile Details

NPI number 1013574441
LBN Legal business name Lilletvedt, Jacob Thomas
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2019
Last updated May 21st, 2019 - about 7 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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