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NPI Code Detail

MEDICARE: STEPHANIE M. WELCH LRD

MEDICARE: STEPHANIE M. WELCH LRD
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
1133V00000XRegistered Dietitian724ND
2133V00000XRegistered Dietitian541MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000298978OTHERMTBCBS PIN

General Provider Information

NPI Number : 1841487824
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE M. WELCH LRD
Provider Business Mailing Address
First Line : PO BOX 37000
Second Line :
City : BILLINGS
State : MT
Zip : 59107-7000
Country : US
Telephone Number : 406-238-2500
Fax Number :
Provider Business Practice Location Address
First Line : 1045 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0733
Country : US
Telephone Number : 406-238-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 07/07/2015

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Directions to “ STEPHANIE M. WELCH LRD” Practice Location

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