Nelson, Juanita
Nelson, Juanita is an individual health care provider with primary practice located at 1312 N Meridian Rd , Kalispell MT 59901-3095. 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. Nelson, Juanita can be contacted via phone (406) 756-6453.Contact Information
Primary practice address
1312 N Meridian Rd
Kalispell MT 59901-3095
Phone: (406) 756-6453
Fax: (406) 756-8546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 829 | Montana |
Profile Details
| NPI number | 1497886758 |
|---|---|
| LBN Legal business name | Nelson, Juanita |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497886758 | NPPES |
| Missouri | Other | 76208 | CHIP |
| Missouri | Other | 0000076391 | CHIP |
| Missouri | MEDICAID | 0320372 | CHIP |
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