Healthcare Provider Details

I. General information

NPI: 1457336109
Provider Name (Legal Business Name): DINICE LEANA SCHEIHING PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DINICE LEANA JIMENEZ PAC

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 HIGHLAND BLVD STE 1100
BOZEMAN MT
59715-6900
US

IV. Provider business mailing address

915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-4550
  • Fax:
Mailing address:
  • Phone: 406-414-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number86404
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: