| Praxis Pain Solutions, Inc. | |
|
905 Highland Blvd Ste 4500 Bozeman MT 59715-6903 | |
| (406) 600-5606 | |
| Not Available |
| Full Name | Praxis Pain Solutions, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 905 Highland Blvd Ste 4500, Bozeman, Montana |
| Authorized Official Name and Position | Ashley Olsen (PRESIDENT) |
| Authorized Official Contact | 4066005606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Praxis Pain Solutions, Inc. 4442 Alexander St Bozeman MT 59718-1956 Ph: () - | Praxis Pain Solutions, Inc. 905 Highland Blvd Ste 4500 Bozeman MT 59715-6903 Ph: (406) 600-5606 |
| NPI Number | 1528364965 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Medicare PECOS PAC ID | 2163604992 |
|---|---|
| Medicare Enrollment ID | O20110315000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528364965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 870 (Montana) | Primary |
| Provider Name | Ashley M Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427256452 PECOS PAC ID: 7719078781 Enrollment ID: I20110315000369 |
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