Swann, Wanda Susan
Swann, Wanda Susan is an sole proprietor health care provider with primary practice located at 1365 Evans Ave , Butte MT 59701-3421. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Swann, Wanda Susan can be contacted via phone (406) 494-0099.Contact Information
Primary practice address
1365 Evans Ave
Butte MT 59701-3421
Phone: (406) 494-0099
Fax: (406) 494-0099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Mechanotherapist | 172M00000X | 2003 | Montana |
Profile Details
| NPI number | 1013275361 |
|---|---|
| LBN Legal business name | Swann, Wanda Susan |
| Credentials | LMT NCTMB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Apr 24th, 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 | 1013275361 | NPPES |
| Montana | MEDICAID | 2003 |
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