Van Blaricom, Desiree
Van Blaricom, Desiree is an individual health care provider with primary practice located at 435 S Crystal St Ste 400, Butte MT 59701-1506. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Van Blaricom, Desiree can be contacted via phone (406) 496-3456.Contact Information
Primary practice address
435 S Crystal St Ste 400
Butte MT 59701-1506
Phone: (406) 496-3456
Fax: (406) 496-3457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1821 | Montana |
Profile Details
| NPI number | 1033112073 |
|---|---|
| LBN Legal business name | Van Blaricom, Desiree |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 19th, 2007 - about 19 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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