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NPI Code Detail

MEDICARE: JODEL SONNEMANN

MEDICARE: JODEL SONNEMANN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPHA-PHA-LIC 2936MT

General Provider Information

NPI Number : 1790146678
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODEL SONNEMANN
Provider Business Mailing Address
First Line : 670 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-3224
Country : US
Telephone Number : 406-245-6979
Fax Number : 406-252-9611
Provider Business Practice Location Address
First Line : 670 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-3224
Country : US
Telephone Number : 406-245-6979
Fax Number : 406-252-9611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2016
Last Update Date : 03/18/2016

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Directions to “ JODEL SONNEMANN ” Practice Location

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