Pessl, Liese
Pessl, Liese is an individual health care provider with primary practice located at 214 E Mendenhall St Gallatin Community Clinic, Bozeman MT 59715-3638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pessl, Liese can be contacted via phone (406) 525-1360.Contact Information
Primary practice address
214 E Mendenhall St Gallatin Community Clinic
Bozeman MT 59715-3638
Phone: (406) 525-1360
Fax: (406) 823-6305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN22756 | Montana |
Profile Details
| NPI number | 1447347281 |
|---|---|
| LBN Legal business name | Pessl, Liese |
| Credentials | NPF |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jan 31st, 2012 - about 14 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 | 1447347281 | NPPES |
| Montana | MEDICAID | 307502 |
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