O Leary Bennett, Evelyn Ann

O Leary Bennett, Evelyn Ann is an individual health care provider with primary practice located at 127 N Higgins Ave Rm 206 , Missoula MT 59802-4457. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. O Leary Bennett, Evelyn Ann can be contacted via phone (406) 549-2625.

Contact Information

Primary practice address
127 N Higgins Ave Rm 206 Missoula MT 59802-4457
Phone: (406) 549-2625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 484LCPC Montana
Nursing Service Providers / Rehabilitation 163WR0400X 09268 Montana

Profile Details

NPI number 1043398571
LBN Legal business name O Leary Bennett, Evelyn Ann
Credentials RN LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043398571 NPPES
Montana MEDICAID 0253657
Montana Other 13005657
Montana Other 74903

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