Mark, Emily Rose

Mark, Emily Rose is an individual health care provider with primary practice located at 141 Discovery Dr Ste 109 , Bozeman MT 59718-4134. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mark, Emily Rose can be contacted via phone (406) 905-0632.

Contact Information

Primary practice address
141 Discovery Dr Ste 109 Bozeman MT 59718-4134
Phone: (406) 905-0632
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BBH-LAC-LIC-56959 Montana

Profile Details

NPI number 1548996408
LBN Legal business name Mark, Emily Rose
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2022
Last updated Sep 27th, 2022 - about 4 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 1548996408 NPPES
Montana Other BBH-LAC-LIC-56959 MONTANA BOARD OF BEHAVIORAL HEALTH

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