Tesar, Vim L.
Tesar, Vim L. is an sole proprietor health care provider with primary practice located at 307 1St Ave E Ste 7 , Kalispell MT 59901-4965. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Tesar, Vim L. can be contacted via phone (406) 752-5211.Contact Information
Primary practice address
307 1St Ave E Ste 7
Kalispell MT 59901-4965
Phone: (406) 752-5211
Fax: (406) 752-7072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 789 | Montana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 728 | Montana |
Profile Details
| NPI number | 1558465047 |
|---|---|
| LBN Legal business name | Tesar, Vim L. |
| Credentials | MS, LCPC, LAC, CRC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558465047 | NPPES |
| Montana | Other | 742100 | BCBS |
| Montana | MEDICAID | 0256659 | BCBS |
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