Wellborn, Amy
Wellborn, Amy is an sole proprietor health care provider with primary practice located at 30 Mt Highway 91 S , Dillon MT 59725-3535. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wellborn, Amy can be contacted via phone (406) 683-1188.Contact Information
Primary practice address
30 Mt Highway 91 S
Dillon MT 59725-3535
Phone: (406) 683-1188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11385 | Montana |
Profile Details
| NPI number | 1205226149 |
|---|---|
| LBN Legal business name | Wellborn, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2015 |
| Last updated | Oct 14th, 2020 - about 6 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 | 1205226149 | NPPES |
| Montana | Other | 81-0262019 | YBGR |
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