Lilly, Jamie Maria

Lilly, Jamie Maria is an individual health care provider with primary practice located at 500 West Broadway , Missoula MT 59802. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lilly, Jamie Maria can be contacted via phone (406) 329-5615.

Contact Information

Primary practice address
500 West Broadway Missoula MT 59802
Phone: (406) 329-5615
Fax: (406) 329-2791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 055-0031195 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001000729 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0670 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 69994 Montana

Profile Details

NPI number 1922168517
LBN Legal business name Lilly, Jamie Maria
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated May 27th, 2021 - about 5 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 1922168517 NPPES
Vermont MEDICAID 9000375
Vermont MEDICAID 30207723

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