Limoncelli, Mara Christine

Limoncelli, Mara Christine is an individual health care provider with primary practice located at 1006 W Main St , Bozeman MT 59715-3219. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Limoncelli, Mara Christine can be contacted via phone (406) 414-4800.

Contact Information

Primary practice address
1006 W Main St Bozeman MT 59715-3219
Phone: (406) 414-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA158092 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA158092 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 104134 Montana

Profile Details

NPI number 1942590583
LBN Legal business name Limoncelli, Mara Christine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2011
Last updated May 12th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942590583 NPPES
Oregon MEDICAID 500705178

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